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General NPI Number Information
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NPI Number | 1821014390
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Entity Type | Organization
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Legal Business Name | PREMIER REHAB MANAGEMENT, LLC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 8199 NAVARRE PKWY SUITE 12A
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City | NAVARRE
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State | FL
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Zip | 32566-6941
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Country | US
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Telephone | 678-932-3629
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Fax | 678-932-3629
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Provider Business Mailing Address
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Address Line | PO BOX 96220
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City | PHOENIX
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State | AZ
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Zip | 85072-6220
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Country | US
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Telephone | 678-459-3758
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Fax | 678-567-6737
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | CARMEN PHILPOT
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Credential |
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Telephone | 678-403-3568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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