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NPI 1720037062

NPI 1720037062 : OMNI CENTER, INC. : SHELBYVILLE, TN

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General NPI Number Information
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    NPI Number           |    1720037062
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    Entity Type          |    Organization 
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    Legal Business Name  |    OMNI CENTER, INC. 
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Dates
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    Enumeration Date     |    05/05/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    920 COLLOREDO BLVD 
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    City                 |    SHELBYVILLE
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    State                |    TN
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    Zip                  |    37160-2779
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    Country              |    US
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    Telephone            |    931-684-3024
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    Fax                  |    931-684-3066
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Provider Business Mailing Address
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    Address Line         |    920 COLLOREDO BLVD 
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    City                 |    SHELBYVILLE
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    State                |    TN
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    Zip                  |    37160-2779
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    Country              |    US
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    Telephone            |    931-684-3024
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    Fax                  |    931-684-3066
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Authorized Official
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    Title or Position    |    P.T./DIRECTOR
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    Name                 |    MRS. ESTHER  MCCONKEY 
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    Credential           |    
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    Telephone            |    931-684-3024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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