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General NPI Number Information
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NPI Number | 1649322306
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Entity Type | Organization
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Legal Business Name | HARTWELL THERAPY LLC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 424 MARSH LN
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City | OXFORD
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State | AL
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Zip | 36203-3962
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Country | US
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Telephone | 256-282-5671
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Fax |
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Provider Business Mailing Address
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Address Line | 424 MARSH LN
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City | OXFORD
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State | AL
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Zip | 36203-3962
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Country | US
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Telephone | 256-282-5671
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Fax |
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | KALEY OLIVER
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Credential |
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Telephone | 256-282-5671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1880
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License Number State | AL
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