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General NPI Number Information
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NPI Number | 1437263464
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH REHABILITATION & SPORTS MEDICINE PSC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 7981 FREEDOM WAY
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City | FLORENCE
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State | KY
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Zip | 41042
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Country | US
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Telephone | 859-371-8447
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Fax | 859-371-8996
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Provider Business Mailing Address
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Address Line | PO BOX 911148
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City | LEXINGTON
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State | KY
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Zip | 40591-1148
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Country | US
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Telephone | 859-278-2121
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Fax | 859-276-1649
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ROBERT MCCRAY
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Credential | P.T.
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Telephone | 859-278-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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