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General NPI Number Information
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NPI Number | 1851620769
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Entity Type | Organization
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Legal Business Name | RIPPEE REHAB OXFORD, INC
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | 2409 S. LAMAR
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City | OXFORD
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State | MS
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Zip | 38655-5344
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Country | US
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Telephone | 901-755-4441
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Fax | 901-755-4447
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Provider Business Mailing Address
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Address Line | 2900 KIRBY RD STE 4
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City | MEMPHIS
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State | TN
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Zip | 38119-8221
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Country | US
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Telephone | 901-755-4441
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Fax | 901-755-4447
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Authorized Official
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Title or Position | CEO
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Name | MS. TERESA RIPPEE
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Credential | RRT
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Telephone | 901-412-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 4377
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License Number State | TN
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