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General NPI Number Information
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NPI Number | 1902910151
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Entity Type | Organization
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Legal Business Name | TRINITY REHABILITATION INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 1350 S GUTENSOHN RD STE 10
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City | SPRINGDALE
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State | AR
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Zip | 72762-5117
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Country | US
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Telephone | 479-751-7122
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Fax | 479-751-7292
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Provider Business Mailing Address
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Address Line | 1350 S GUTENSOHN RD STE 10
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City | SPRINGDALE
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State | AR
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Zip | 72762-5210
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Country | US
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Telephone | 479-751-7122
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Fax | 479-751-7292
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Authorized Official
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Title or Position | THERAPIST PARTNER OWNER DIRECTOR
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Name | MR. KENNETH L NESS
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Credential | OT
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Telephone | 479-751-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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