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General NPI Number Information
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NPI Number | 1285377564
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Entity Type | Organization
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Legal Business Name | NHC-MAURY REGIONAL TRANSITIONAL CARE CENTER LLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 5010 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-5074
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Country | US
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Telephone | 931-840-4402
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Fax |
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Provider Business Mailing Address
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Address Line | 5010 TROTWOOD AVE
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City | COLUMBIA
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State | TN
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Zip | 38401-5074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER OF LLC
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Name | D DORAN JOHNSON
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Credential |
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Telephone | 931-424-1456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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