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General NPI Number Information
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NPI Number | 1821345331
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Entity Type | Organization
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Legal Business Name | TRUREHAB LLC
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 3801 OLD BRUCEVILLE RD
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City | VINCENNES
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State | IN
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Zip | 47591-3889
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Country | US
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Telephone | 812-886-4677
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 OLD BRUCEVILLE RD
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City | VINCENNES
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State | IN
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Zip | 47591-3889
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Country | US
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Telephone | 812-886-4677
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Fax |
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Authorized Official
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Title or Position | BOM
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Name | MRS. ASHLEY PARRISH
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Credential |
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Telephone | 812-886-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 146.008180
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License Number State | IL
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