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General NPI Number Information
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NPI Number | 1457163156
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Entity Type | Organization
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Legal Business Name | BAPTIST MEMORIAL REHABILITATION HOSPITAL - MADISON LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1520 HIGHLAND COLONY PKWY
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City | MADISON
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State | MS
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Zip | 39110
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Country | US
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Telephone | 601-906-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JAMES NATHAN BUCKALEW
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Credential |
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Telephone | 601-906-0278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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