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General NPI Number Information
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NPI Number | 1891800553
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA REHAB, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 133A S MAIN ST
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City | WARRENTON
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State | NC
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Zip | 27589-1953
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Country | US
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Telephone | 252-257-0460
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Fax | 252-257-0460
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Provider Business Mailing Address
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Address Line | 1 PARKWEST CIR SUITE108
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-5551
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Country | US
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Telephone | 804-379-9265
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Fax | 804-379-9269
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. GEORGE T BOTENS
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Credential |
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Telephone | 804-379-9265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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