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General NPI Number Information
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NPI Number | 1194981266
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Entity Type | Organization
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Legal Business Name | SALINA SPINE AND REHAB, LLC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 1945 S OHIO ST SUITE B1
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City | SALINA
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State | KS
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Zip | 67401-6791
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Country | US
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Telephone | 785-404-1616
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Fax | 785-404-1343
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Provider Business Mailing Address
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Address Line | 1945 S OHIO ST SUITE B1
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City | SALINA
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State | KS
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Zip | 67401-6791
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Country | US
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Telephone | 785-404-1616
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Fax | 785-404-1343
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. TERRY A EISENHAUER
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Credential | D.C.
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Telephone | 785-404-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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