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General NPI Number Information
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NPI Number | 1699365254
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Entity Type | Organization
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Legal Business Name | MERCY REHABILITATION HOSPITAL, LLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 6700 CHAD COLLEY BLVD
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City | FORT SMITH
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State | AR
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Zip | 72916-6120
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Country | US
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Telephone | 479-221-8966
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Fax |
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone | 502-596-6505
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CORY VANMETER
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Credential |
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Telephone | 479-221-8966
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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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