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General NPI Number Information
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NPI Number | 1639384399
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Entity Type | Organization
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Legal Business Name | COX REHAB
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 700 E CLEVELAND AVE
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City | MONETT
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State | MO
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Zip | 65708-1436
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Country | US
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Telephone | 417-236-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E CLEVELAND AVE
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City | MONETT
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State | MO
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Zip | 65708-1436
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Country | US
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Telephone | 417-236-2480
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REHAB
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Name | JOLENE PALMQUIST
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Credential | OTR L
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Telephone | 4172362480431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 2006029135
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License Number State | MO
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