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General NPI Number Information
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NPI Number | 1639020845
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Entity Type | Organization
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Legal Business Name | MUNCIE REHAB OPCO LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3000 S TILLOTSON AVE
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City | MUNCIE
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State | IN
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Zip | 47302-6549
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Country | US
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Telephone | 515-457-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 665 GRAND AVE STE 200
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City | DES MOINES
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State | IA
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Zip | 50309-1363
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Country | US
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Telephone | 515-457-9000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL NELSON
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Credential |
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Telephone | 515-457-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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