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General NPI Number Information
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NPI Number | 1326804857
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Entity Type | Organization
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Legal Business Name | COOPER GREEN REHABILITATION SERVICES
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1515 6TH AVE S FL 4
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1601
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Country | US
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Telephone | 205-930-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 6TH AVE S FL 4
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1601
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Country | US
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Telephone | 205-930-3600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LAURA HURST
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Credential |
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Telephone | 205-930-3301
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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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