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General NPI Number Information
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NPI Number | 1568820843
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Entity Type | Organization
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Legal Business Name | SILVER LINING REHAB LLC
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 2642 N DUDNEY RD
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City | MAGNOLIA
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State | AR
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Zip | 71753-4305
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Country | US
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Telephone | 870-234-7000
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Fax | 870-234-7168
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Provider Business Mailing Address
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Address Line | 2642 N DUDNEY RD
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City | MAGNOLIA
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State | AR
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Zip | 71753-4305
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Country | US
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Telephone | 870-234-7000
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Fax | 870-234-7168
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SUZANNE PHILLIPS
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Credential | CEO
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Telephone | 870-234-7000
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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 | 1093
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License Number State | AR
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