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General NPI Number Information
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NPI Number | 1578562625
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Entity Type | Organization
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Legal Business Name | SOUTHERN INDIANA REHABILITATION HOSPITAL
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 3104 BLACKISTON BLVD
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City | NEW ALBANY
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State | IN
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Zip | 47150-9579
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Country | US
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Telephone | 812-941-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2587
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City | LOUISVILLE
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State | KY
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Zip | 40201-2587
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Country | US
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Telephone | 502-587-4099
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Fax | 502-587-4944
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RANDY L NAPIER
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Credential |
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Telephone | 812-941-6106
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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 | 050062051
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License Number State | IN
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