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General NPI Number Information
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NPI Number | 1649244583
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Entity Type | Organization
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Legal Business Name | RUSK REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 315 BUSINESS LOOP 70 W
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City | COLUMBIA
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State | MO
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Zip | 65203-3248
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Country | US
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Telephone | 573-817-2703
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Fax | 573-817-4659
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Provider Business Mailing Address
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Address Line | 9001 LIBERTY PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7509
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Country | US
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Telephone | 205-967-7116
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Fax | 205-969-6650
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT W MCCALLUM
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Credential |
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Telephone | 205-970-5669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 433-5
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License Number State | MO
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