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General NPI Number Information
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NPI Number | 1770700247
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1111 ROCKINGHAM DR
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City | RICHARDSON
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State | TX
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Zip | 75080-4309
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Country | US
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Telephone | 214-662-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 508 KEITH DR
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City | ALLEN
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State | TX
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Zip | 75002
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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 | PHYSICAL THERAPSIT
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Name | MRS. ANGELA LEE ANDERSON
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Credential | PT
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Telephone | 214-662-3371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 1168192
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License Number State | TX
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