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General NPI Number Information
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NPI Number | 1912669888
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Entity Type | Organization
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Legal Business Name | ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ST. AUGUSTINE, LLC
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 65 SILVER LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-3922
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Country | US
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Telephone | 904-640-2000
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Fax | 904-640-2395
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Provider Business Mailing Address
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Address Line | 65 SILVER LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-3922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CAREY B MCRAE
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Credential |
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Telephone | 205-970-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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