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General NPI Number Information
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NPI Number | 1548704596
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Entity Type | Organization
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Legal Business Name | ENGLISH MEADOWS
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Dates
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Enumeration Date | 12/10/2016
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Last Update Date | 12/10/2016
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Provider Practice Location Address
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Address Line | 306 LYNFIELD RD
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City | BRISTOL
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State | TN
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Zip | 37620-6135
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Country | US
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Telephone | 423-968-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 306 LYNFIELD RD
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City | BRISTOL
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State | TN
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Zip | 37620-6135
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Country | US
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Telephone | 423-968-5655
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Fax |
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Authorized Official
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Title or Position | REGIONAL REHAB MANAGER/PTA
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Name | MS. JESSIE ROBINSON
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Credential | LPTA
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Telephone | 804-441-3794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2306000302
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License Number State | VA
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