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General NPI Number Information
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NPI Number | 1427395151
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Entity Type | Organization
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Legal Business Name | REHAB RIGHT AT HOME
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 1425 JENNA LN
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City | CEDAR PARK
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State | TX
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Zip | 78613-1432
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Country | US
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Telephone | 208-659-7553
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Fax | 512-394-7711
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Provider Business Mailing Address
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Address Line | 1425 JENNA LN
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City | CEDAR PARK
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State | TX
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Zip | 78613-1432
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Country | US
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Telephone | 208-659-7553
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Fax | 512-394-7711
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SCOTT L HALL
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Credential | PT
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Telephone | 208-659-7553
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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 | 1212938
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License Number State | TX
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