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General NPI Number Information
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NPI Number | 1477862688
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Entity Type | Organization
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Legal Business Name | COMPREHAB, LLC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 1614 E DAY RD
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City | MISHAWAKA
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State | IN
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Zip | 46545-3469
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Country | US
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Telephone | 574-243-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 15750 LAKE FOREST CT
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City | GRANGER
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State | IN
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Zip | 46530-8436
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Country | US
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Telephone | 574-243-2001
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANK S LAPIERRE
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Credential |
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Telephone | 574-243-2001
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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 | 05008785A
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License Number State | IN
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