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General NPI Number Information
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NPI Number | 1295281871
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Entity Type | Organization
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Legal Business Name | SELECT REHAB
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 30 MONICA BLVD
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City | LYNCHBURG
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State | VA
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Zip | 24502
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Country | US
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Telephone | 434-266-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MONICA BLVD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2269
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Country | US
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Telephone | 434-266-1102
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Fax |
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Authorized Official
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Title or Position | LPTA
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Name | MR. BRYAN JUNIUS TURNER
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Credential |
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Telephone | 434-266-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2306601638
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License Number State | VA
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