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General NPI Number Information
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NPI Number | 1073836318
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Entity Type | Organization
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Legal Business Name | BRS, INC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 4325 DOWNTOWNER LOOP N
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City | MOBILE
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State | AL
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Zip | 36609-5501
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Country | US
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Telephone | 251-747-4118
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Fax | 877-232-9875
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Provider Business Mailing Address
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Address Line | 18601 E SILVERHILL AVE SUITE C
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City | ROBERTSDALE
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State | AL
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Zip | 36567-3703
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Country | US
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Telephone | 251-747-4118
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Fax | 877-232-9875
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Authorized Official
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Title or Position | CEO
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Name | MRS. NIKETA N BODALIA
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Credential | MSPT
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Telephone | 251-747-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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