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General NPI Number Information
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NPI Number | 1669277307
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Entity Type | Organization
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Legal Business Name | EXALT HEALTH REHABILITATION HOSPITAL WILDWOOD LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 4756 COUNTY ROAD 44A
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City | WILDWOOD
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State | FL
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Zip | 34785-7925
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Country | US
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Telephone | 214-213-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 GUTHRIE RD STE 180
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City | GARLAND
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State | TX
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Zip | 75043-5952
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHAD DEARDORFF
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Credential |
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Telephone | 214-213-8372
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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 |
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License Number State |
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