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General NPI Number Information
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NPI Number | 1295709954
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Entity Type | Organization
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Legal Business Name | YUMA REHABILITATION HOSPITAL, L.L.C.
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 901 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-726-5000
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Fax | 928-726-5001
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Provider Business Mailing Address
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Address Line | 901 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6384
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Country | US
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Telephone | 928-726-5000
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Fax | 928-726-5001
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Authorized Official
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Title or Position | VICE PRESIDENT OF THE MANAGER
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Name | CAREY BENNETT MCRAE
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Credential |
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Telephone | 205-970-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | SH3378
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License Number State | AZ
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