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General NPI Number Information
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NPI Number | 1891854022
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Entity Type | Organization
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Legal Business Name | PROGRESSIVEHEALTH REHABILITATION SOLUTIONS, INC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 1777 GEORGIAN PARK
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6989
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Country | US
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Telephone | 770-487-1931
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6890
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City | EVANSVILLE
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State | IN
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Zip | 47719-0890
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Country | US
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Telephone | 886-279-5049
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Fax | 812-491-1269
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Authorized Official
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Title or Position | CEO
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Name | MR. KEITH R BERSCH
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Credential |
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Telephone | 812-491-3856
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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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