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General NPI Number Information
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NPI Number | 1235213588
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Entity Type | Organization
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Legal Business Name | TRI-STATE SPORTS AND REHAB, PSC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 908 BYPASS RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-1689
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Country | US
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Telephone | 606-437-4466
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3846
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City | PIKEVILLE
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State | KY
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Zip | 41502-3846
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Country | US
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Telephone | 606-437-4466
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SCOTT AKERS
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Credential |
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Telephone | 606-437-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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