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General NPI Number Information
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NPI Number | 1700996949
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Entity Type | Organization
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Legal Business Name | OMEGA REHABILITATION GROUP
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 3733 STEVENS LN
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City | NASHVILLE
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State | TN
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Zip | 37218-1205
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Country | US
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Telephone | 901-346-0010
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Fax | 901-346-0012
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Provider Business Mailing Address
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Address Line | PO BOX 751982
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City | MEMPHIS
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State | TN
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Zip | 38175-1982
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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 | CEO/CLINICAL SPECIALIST
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Name | CARLOS CATHEY
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Credential | PT
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Telephone | 901-346-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5958
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License Number State | TN
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