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General NPI Number Information
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NPI Number | 1861940314
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Entity Type | Organization
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Legal Business Name | HEALTHPRO REHAB
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 3040 WOODSIDE DR
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City | JOLIET
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State | IL
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Zip | 60431-8827
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Country | US
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Telephone | 708-691-3527
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 WOODSIDE DR
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City | JOLIET
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State | IL
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Zip | 60431-8827
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Country | US
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Telephone | 708-691-3527
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | MRS. PAULA BUARI
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Credential |
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Telephone | 864-905-2115
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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 | 056011664
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License Number State | IL
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