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General NPI Number Information
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NPI Number | 1245766005
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Entity Type | Organization
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Legal Business Name | NEURO REHABCARE OF HAMMOND, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 41238 ADAMS RD
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City | HAMMOND
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State | LA
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Zip | 70403-2069
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Country | US
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Telephone | 913-334-4110
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Fax | 913-334-3121
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Provider Business Mailing Address
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Address Line | 9201 PARALLEL PKWY
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City | KANSAS CITY
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State | KS
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Zip | 66112-1510
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Country | US
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Telephone | 913-334-4110
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Fax | 913-334-3121
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Authorized Official
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Title or Position | CREDENTIALING & BILLING SPECIALIST
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Name | LISA DOUTHITT
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Credential |
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Telephone | 913-334-4110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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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 | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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