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General NPI Number Information
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NPI Number | 1376911065
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Entity Type | Organization
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Legal Business Name | FALL INJURY PREVENTION AND REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 7001 CRESTWOOD BLVD SUITE 804
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City | IRONDALE
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State | AL
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Zip | 35210-2332
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Country | US
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Telephone | 205-518-6421
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CRESTWOOD BLVD SUITE 804
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City | IRONDALE
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State | AL
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Zip | 35210-2332
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Country | US
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Telephone | 205-518-6421
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. CASSANDRA WARNER FRIESON
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Credential | DNP, CRNP
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Telephone | 205-518-6421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 1056275
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License Number State | AL
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