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General NPI Number Information
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NPI Number | 1669022539
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Entity Type | Organization
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Legal Business Name | QUICKCARE REHAB, INC.
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 907 N GOLIAD ST STE 1
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City | ROCKWALL
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State | TX
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Zip | 75087-2230
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Country | US
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Telephone | 214-564-1776
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Fax | 972-232-2310
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Provider Business Mailing Address
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Address Line | 1028 REDWOOD TRL
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City | ROCKWALL
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State | TX
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Zip | 75087-6102
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Country | US
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Telephone | 214-564-1776
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Fax | 972-232-2310
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Authorized Official
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Title or Position | OWNER
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Name | MR. RUSSELL LYLE DARRINGTON
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Credential | MS, PT
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Telephone | 214-564-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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