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General NPI Number Information
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NPI Number | 1780292052
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE THERAPY & REHAB
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 306 LAURENS ST NW STE A&B
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City | AIKEN
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State | SC
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Zip | 29801-3968
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Country | US
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Telephone | 706-491-0771
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Fax | 844-965-9643
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Provider Business Mailing Address
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Address Line | 330 RESEARCH DR STE 110
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City | ATHENS
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State | GA
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Zip | 30605-2759
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Country | US
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Telephone | 706-254-2000
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Fax | 844-965-9643
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Authorized Official
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Title or Position | CERTIFICATION SPECIALIST
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Name | APRIL TEEL WALTERS
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Credential | LPN
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Telephone | 706-491-0771
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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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