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General NPI Number Information
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NPI Number | 1538132253
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Entity Type | Organization
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Legal Business Name | ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY, LLC
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 201 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3407
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Country | US
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Telephone | 859-341-2044
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Fax | 859-341-2813
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Provider Business Mailing Address
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Address Line | 9001 LIBERTY PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7509
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Country | US
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Telephone | 205-967-7116
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Fax | 205-969-6650
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT MCCALLUM
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Credential |
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Telephone | 205-970-5669
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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 | 100592
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License Number State | KY
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