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General NPI Number Information
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NPI Number | 1760486708
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Entity Type | Organization
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Legal Business Name | DORA ROBERTS REHABILITATION CENTER
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 306 W 3RD ST
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City | BIG SPRING
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State | TX
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Zip | 79720-2429
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Country | US
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Telephone | 432-267-3806
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Fax | 432-267-3809
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Provider Business Mailing Address
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Address Line | 306 W 3RD ST
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City | BIG SPRING
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State | TX
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Zip | 79720-2429
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Country | US
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Telephone | 432-267-3806
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Fax | 432-267-3809
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PENNY PHILLIPS
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Credential |
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Telephone | 432-267-3806
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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 | TX
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