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General NPI Number Information
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NPI Number | 1427142561
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Entity Type | Organization
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Legal Business Name | CAROLINA REHABILITATION INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 20 MEDICAL CAMPUS DR NW STE 104
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City | SUPPLY
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State | NC
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Zip | 28462-4094
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Country | US
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Telephone | 910-755-5861
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Fax | 910-755-5865
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Provider Business Mailing Address
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Address Line | 121 ALHAMBRA PLZ STE 1100
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City | CORAL GABLES
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State | FL
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Zip | 33134-4522
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Country | US
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Telephone | 502-609-4872
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Fax | 910-457-0114
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Authorized Official
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Title or Position | CREDENTIALING
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Name | TRACEY J BAUGHEY
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Credential |
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Telephone | 267-981-6519
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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