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General NPI Number Information
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NPI Number | 1912119199
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Entity Type | Organization
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Legal Business Name | CAPABILITIES FOR LIVING, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 748 WALNUT KNOLL LN SUITE 1
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City | CORDOVA
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State | TN
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Zip | 38018-3110
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Country | US
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Telephone | 901-507-4780
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Fax | 901-507-4786
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Provider Business Mailing Address
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Address Line | 748 WALNUT KNOLL LN SUITE 1
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City | CORDOVA
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State | TN
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Zip | 38018-3110
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Country | US
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Telephone | 901-507-4780
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Fax | 901-507-4786
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | MR. HECTOR C. TORRES
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Credential | BS,IT
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Telephone | 901-507-4780
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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 | OT0000000002
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License Number State | TN
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