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General NPI Number Information
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NPI Number | 1235952748
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Entity Type | Organization
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Legal Business Name | MENTIS REHABILITATION LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 672 TREESIDE DR
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City | STOW
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State | OH
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Zip | 44224-1151
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Country | US
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Telephone | 713-298-6843
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 CAREW ST
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City | HOUSTON
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State | TX
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Zip | 77096-1303
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Country | US
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Telephone | 713-298-6843
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEROME BRIAN MEE
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Credential |
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Telephone | 713-298-6843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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