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General NPI Number Information
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NPI Number | 1821394743
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH AND REHABILITATION CENTER PC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 710 S BUSINESS 54
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City | FULTON
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State | MO
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Zip | 65251-1403
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Country | US
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Telephone | 573-642-9999
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Fax | 573-642-8458
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Provider Business Mailing Address
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Address Line | 710 S BUSINESS 54
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City | FULTON
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State | MO
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Zip | 65251-1403
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Country | US
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Telephone | 573-642-9999
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Fax | 573-642-8458
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN HOSELTON
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Credential | DC
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Telephone | 573-642-9999
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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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