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General NPI Number Information
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NPI Number | 1588875181
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Entity Type | Organization
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Legal Business Name | HEALTH EMPOWERED REHABILITATION INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 9217 PARK WEST BLVD STE D2
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City | KNOXVILLE
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State | TN
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Zip | 37923-4404
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Country | US
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Telephone | 865-691-6696
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Fax | 865-691-8479
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Provider Business Mailing Address
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Address Line | 9217 PARK WEST BLVD STE D2
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City | KNOXVILLE
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State | TN
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Zip | 37923-4420
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Country | US
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Telephone | 865-691-6696
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Fax | 865-691-8479
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JERZY JULIUSZ TWOREK
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Credential | PHYSICAL THERAPIST
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Telephone | 865-691-6696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0000004227
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License Number State | TN
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