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General NPI Number Information
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NPI Number | 1922293596
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Entity Type | Organization
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Legal Business Name | HIGH PLAINS REHABILITATION ASSO.
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 5111 CANYON DR
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City | AMARILLO
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State | TX
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Zip | 79110-3037
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Country | US
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Telephone | 806-353-7018
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Fax | 806-353-7044
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Provider Business Mailing Address
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Address Line | PO BOX 8876
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City | AMARILLO
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State | TX
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Zip | 79114-8876
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Country | US
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Telephone | 806-353-7018
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Fax | 806-353-7044
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL R. VEGGEBERG
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Credential | M.D.
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Telephone | 806-353-7018
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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 | G8478
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License Number State | TX
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