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General NPI Number Information
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NPI Number | 1588715122
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Entity Type | Organization
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Legal Business Name | CENTERRE REHABILITATION HOSPITAL OF ARIZONA, LLC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2601 E ROOSEVELT ST 7TH FLOOR
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City | PHOENIX
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State | AZ
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Zip | 85008-4973
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Country | US
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Telephone | 602-389-5600
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Fax | 602-389-5627
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Provider Business Mailing Address
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Address Line | 7733 FORSYTH BLVD SUITE 800
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1817
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Country | US
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Telephone | 314-889-2718
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Fax | 314-889-2727
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER, CENTERRE
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Name | MR. ANDREW KERR
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Credential |
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Telephone | 314-889-2726
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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 | SH 3645
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License Number State | AZ
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