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General NPI Number Information
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NPI Number | 1093982175
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Entity Type | Organization
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Legal Business Name | ADVANCED REHABILITATION CENTER, PLLC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 50 STANLEY ST
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City | CROSSVILLE
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State | TN
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Zip | 38555-4430
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Country | US
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Telephone | 931-456-5757
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Fax | 931-456-5533
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Provider Business Mailing Address
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Address Line | 139 HEDGEWOOD PT
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City | CROSSVILLE
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State | TN
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Zip | 38558-4514
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Country | US
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Telephone | 931-456-5757
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Fax | 931-456-5533
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. TOMASZ JERZY NOSARZEWSKI
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Credential | PT
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Telephone | 931-456-5757
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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 | 3608
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License Number State | TN
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