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General NPI Number Information
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NPI Number | 1386718633
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH & REHABILITATION, LLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 506 N. LONG AVE.
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City | TAYLOR
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State | AR
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Zip | 71861
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Country | US
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Telephone | 870-694-3781
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Fax | 870-694-2084
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Provider Business Mailing Address
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Address Line | 506 N. LONG AVE.
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City | TAYLOR
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State | AR
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Zip | 71861
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Country | US
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Telephone | 870-694-3781
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Fax | 870-694-2084
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS AFFAIRS
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Name | NINA ALLEN
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Credential |
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Telephone | 870-694-3781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 782
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License Number State | AR
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