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NPI 1750826475

NPI 1750826475 : CARINITY THERAPY SERVICES LLC : DECATUR, AL

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General NPI Number Information
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    NPI Number           |    1750826475
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARINITY THERAPY SERVICES LLC 
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Dates
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    Enumeration Date     |    01/04/2017
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    Last Update Date     |    01/04/2017
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Provider Practice Location Address
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    Address Line         |    1629 4TH AVE SE SUITE 120 D
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    City                 |    DECATUR
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    State                |    AL
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    Zip                  |    35601-4900
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    Country              |    US
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    Telephone            |    256-476-6546
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1629 4TH AVE SE SUITE 120 D
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    City                 |    DECATUR
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    State                |    AL
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    Zip                  |    35601-4900
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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    |    OWNER
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    Name                 |    MRS. ALMA F DAVIS 
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    Credential           |    MS, OTR/L
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    Telephone            |    256-476-6546
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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       |    2437
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    2437
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    License Number State |    AL
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