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General NPI Number Information
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NPI Number | 1710177431
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Entity Type | Organization
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Legal Business Name | ENCORE REHABILITATION, INC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 919 SHARIT AVE STE 101
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City | GARDENDALE
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State | AL
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Zip | 35071-5006
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Country | US
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Telephone | 256-340-9708
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Fax | 256-340-9624
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Provider Business Mailing Address
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Address Line | 1908 FLINT RD SE
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City | DECATUR
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State | AL
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Zip | 35601-6031
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Country | US
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Telephone | 256-340-9708
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Fax | 256-340-9624
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL G HENDERSON
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Credential | PT
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Telephone | 256-350-1764
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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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