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General NPI Number Information
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NPI Number | 1770449969
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Entity Type | Organization
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Legal Business Name | RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 12219 PANAMA CITY BEACH PKWY
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2729
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Country | US
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Telephone | 502-394-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 502-394-2100
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARGARET S PEMBERTON
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Credential |
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Telephone | 502-394-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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