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General NPI Number Information
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NPI Number | 1700361557
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Entity Type | Organization
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Legal Business Name | HALCYON REHABILITATION, LLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 1199 OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3421
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Country | US
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Telephone | 321-304-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BRIDGE ST STE 210
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City | IRVINGTON
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State | NY
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Zip | 10533-1594
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Country | US
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Telephone | 914-390-4300
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | CHRIS MCDONALD
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Credential |
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Telephone | 914-390-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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