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General NPI Number Information
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NPI Number | 1073995056
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Entity Type | Organization
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Legal Business Name | ST. JOHN ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1200 WEST ALBANY DRIVE
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City | BROKEN ARROW
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State | OK
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Zip | 74012
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Country | US
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Telephone | 918-744-2338
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Fax |
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Provider Business Mailing Address
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Address Line | 9001 LIBERTY PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7509
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Country | US
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Telephone | 205-967-7116
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Fax | 205-969-6650
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | CAREY BENNETT MCRAE
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Credential |
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Telephone | 205-970-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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