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General NPI Number Information
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NPI Number | 1164476644
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Entity Type | Organization
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Legal Business Name | RESTORE THERAPY SERVICES, LTD.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 401 ARNOLD ST NE
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City | CULLMAN
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State | AL
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Zip | 35055-1968
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Country | US
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Telephone | 256-737-9495
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Fax | 256-737-9301
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Provider Business Mailing Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 205-942-6820
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Fax | 205-942-5627
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Authorized Official
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Title or Position | OP DIRECTOR
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Name | MRS. DEBBIE B KNOWLES
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Credential |
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Telephone | 205-942-6820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | AL
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Taxonomy #4
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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 | AL
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