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General NPI Number Information
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NPI Number | 1588642706
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Entity Type | Organization
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Legal Business Name | PANHANDLE REHAB SPECIALISTS LLC
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6141 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106
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Country | US
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Telephone | 806-331-2637
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Fax | 806-331-2717
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Provider Business Mailing Address
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Address Line | 6141 W AMARILLO BLVD
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City | AMARILLO
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State | TX
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Zip | 79106
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Country | US
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Telephone | 806-331-2637
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Fax | 806-331-2717
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Authorized Official
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Title or Position | REHAB AGENCY ADMINISTRATOR
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Name | MS. WENDY SUE STANLEY
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Credential | PT
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Telephone | 806-331-2637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 6531100
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License Number State | TX
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