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General NPI Number Information
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NPI Number | 1922193267
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Entity Type | Organization
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Legal Business Name | ALL AMERICAN REHABILITATION, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1201 W CAMP WISDOM RD STE 320
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City | DALLAS
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State | TX
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Zip | 75232-3446
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Country | US
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Telephone | 817-784-6323
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Fax | 817-784-6323
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Provider Business Mailing Address
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Address Line | 1201 W CAMP WISDOM RD STE 320
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City | DALLAS
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State | TX
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Zip | 75232-3446
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Country | US
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Telephone | 817-784-6323
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Fax | 817-784-6323
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Authorized Official
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Title or Position | CLINIC/DIRECTOR
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Name | MR. BRENT G HALEY
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Credential | PT
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Telephone | 817-784-6323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1014710
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License Number State | TX
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