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General NPI Number Information
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NPI Number | 1629037163
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Entity Type | Organization
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Legal Business Name | WARM SPRINGS SPECIALTY HOSPITAL OF SAN ANTONIO, LLC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 5418 N LOOP 1604 W
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City | SAN ANTONIO
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State | TX
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Zip | 78249-4558
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Country | US
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Telephone | 210-600-4600
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Fax | 210-600-4657
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Provider Business Mailing Address
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Address Line | 1828 GOOD HOPE RD SUITE 102
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City | ENOLA
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State | PA
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Zip | 17025-1233
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Country | US
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Telephone | 717-731-9660
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Fax | 717-731-9665
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS C. KANAVY
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Credential |
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Telephone | 717-731-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 100172
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License Number State | TX
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