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General NPI Number Information
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NPI Number | 1104007582
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Entity Type | Organization
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Legal Business Name | APPALACHIAN REHABILITATION TEAM, INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 70 HOLLY HILLS MALL RD
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City | HINDMAN
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State | KY
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Zip | 41822-9121
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Country | US
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Telephone | 606-785-0629
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Fax | 606-785-0879
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Provider Business Mailing Address
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Address Line | 70 HOLLY HILLS MALL RD
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City | HINDMAN
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State | KY
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Zip | 41822-9121
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Country | US
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Telephone | 606-785-0629
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Fax | 606-785-0879
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN PHILIP BENTLEY
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Credential | PT
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Telephone | 606-632-1188
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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 | 003789
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License Number State | KY
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