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General NPI Number Information
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NPI Number | 1396795142
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Entity Type | Organization
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Legal Business Name | TX: TEAM REHAB INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 3100 TRADITION CIR
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City | MT PLEASANT
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State | SC
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Zip | 29466-7200
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Country | US
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Telephone | 843-694-7945
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Fax | 843-884-6481
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Provider Business Mailing Address
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Address Line | 9101 WESLEYAN RD STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3103
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Country | US
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Telephone | 800-603-6046
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Fax | 317-884-3388
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTT S BENEDICT
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Credential |
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Telephone | 317-884-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5729
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7188
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3701
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1116
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2603
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3936
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4296
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4833
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5475
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License Number State | SC
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Taxonomy #10
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1904
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License Number State | SC
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