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General NPI Number Information
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NPI Number | 1609287689
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Entity Type | Organization
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Legal Business Name | ACCESS 2 REHAB
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 612 EAST 11TH STREET
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City | CHATTANOOGA
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State | TN
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Zip | 37408
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Country | US
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Telephone | 423-838-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHEROKEE BLVD STE 2112
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City | CHATTANOOGA
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State | TN
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Zip | 37405-3878
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALLEN BIBLE
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Credential | DPT
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Telephone | 423-838-0124
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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 | 8093
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License Number State | TN
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