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General NPI Number Information
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NPI Number | 1316911068
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Entity Type | Organization
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Legal Business Name | TYLER REHAB ASSOCIATES, L.P.
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3131 TROUP HWY
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City | TYLER
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State | TX
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Zip | 75701
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Country | US
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Telephone | 903-510-7300
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Fax | 903-510-7005
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Provider Business Mailing Address
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Address Line | 9001 LIBERTY PARKWAY ATTN: ROBERT WISNER, SVP- REIMBURSEMENT
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7509
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Country | US
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Telephone | 205-967-7116
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Fax | 205-969-6650
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Authorized Official
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Title or Position | VICE PRESIDENT OF THE GENERAL PARTN
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Name | MR. 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 | 000692
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License Number State | TX
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