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General NPI Number Information
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NPI Number | 1568438240
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Entity Type | Organization
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Legal Business Name | COGBURN HEALTH AND REHABILITATION - WEST, INC.
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 8002 GRELOT RD
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City | MOBILE
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State | AL
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Zip | 36695-8976
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Country | US
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Telephone | 251-634-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 8002 GRELOT RD
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City | MOBILE
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State | AL
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Zip | 36695-8976
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Country | US
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Telephone | 251-634-8002
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MATTHEW B KENDRICK
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Credential |
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Telephone | 251-476-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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