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General NPI Number Information
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NPI Number | 1578556049
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Entity Type | Organization
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Legal Business Name | BIG COUNTRY REHABILITATION INC
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1710 S CLACK ST
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City | ABILENE
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State | TX
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Zip | 79605-4611
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Country | US
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Telephone | 325-691-0093
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Fax | 325-691-0062
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Provider Business Mailing Address
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Address Line | 1710 S CLACK ST
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City | ABILENE
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State | TX
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Zip | 79605-4611
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Country | US
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Telephone | 325-691-0093
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Fax | 325-691-0062
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHARLES B SMITH
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Credential |
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Telephone | 903-462-4085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 1057495
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License Number State | TX
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