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General NPI Number Information
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NPI Number | 1194799023
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND, LLC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 335 BRIGHTON AVE STE 201
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City | PORTLAND
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State | ME
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Zip | 04102-2374
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Country | US
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Telephone | 207-775-4000
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Fax | 207-662-8446
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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 | 205-970-5735
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Fax | 205-969-6650
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. CAREY B 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 | 34370
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License Number State | ME
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