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General NPI Number Information
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NPI Number | 1255755369
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Entity Type | Organization
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Legal Business Name | ABBOTT REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 1318 HIGHWAY 9 BYP W
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City | LANCASTER
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State | SC
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Zip | 29720-4712
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Country | US
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Telephone | 803-286-5541
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Fax | 803-223-7329
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Provider Business Mailing Address
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Address Line | PO BOX 2408
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City | LANCASTER
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State | SC
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Zip | 29721-2408
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Country | US
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Telephone | 803-286-5541
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Fax | 803-223-7329
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | JAMES ROBIN ABBOTT JR.
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Credential | RPT
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Telephone | 803-286-5541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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