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General NPI Number Information
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NPI Number | 1861942088
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Entity Type | Organization
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Legal Business Name | ENCORE REHABILITATION INC
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 825 W WASHINGTON ST
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City | EUFAULA
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State | AL
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Zip | 36027-1847
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Country | US
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Telephone | 334-355-6009
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Fax | 334-384-0522
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Provider Business Mailing Address
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Address Line | 251 JOHNSTON ST SE SUITE 300
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City | DECATUR
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State | AL
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Zip | 35601-2515
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Country | US
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Telephone | 256-340-9708
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Fax | 256-340-9624
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL HENDERSON
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Credential |
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Telephone | 334-355-6009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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