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General NPI Number Information
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NPI Number | 1942118096
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Entity Type | Organization
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Legal Business Name | SELECT REHABILITATION, LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 17016 SE WAX RD
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City | COVINGTON
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State | WA
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Zip | 98042-6400
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Country | US
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Telephone | 253-480-7050
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Fax | 847-386-5196
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Provider Business Mailing Address
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Address Line | 2600 COMPASS RD
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City | GLENVIEW
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State | IL
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Zip | 60026-8001
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Country | US
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Telephone | 678-491-6692
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Fax | 847-386-5196
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DENISE NICOLE DURHAM
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Credential | PT
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Telephone | 678-491-6692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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