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General NPI Number Information
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NPI Number | 1598492522
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Entity Type | Organization
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Legal Business Name | LIFEPOINT REHAB PHYSICIAN SERVICES LLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 777 HOSPITAL WAY
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City | POCATELLO
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State | ID
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Zip | 83201-5175
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Country | US
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Telephone | 208-239-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax |
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Authorized Official
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Title or Position | ASSISTANT VICE PRESIDENT
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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