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NPI 1952027906

NPI 1952027906 : FOX REHABILITATION SERVICES LA LLC : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1952027906
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOX REHABILITATION SERVICES LA LLC 
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Dates
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    Enumeration Date     |    10/12/2022
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    Last Update Date     |    02/07/2023
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Provider Practice Location Address
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    Address Line         |    9511 CREEKVIEW DR 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70836-6459
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    Country              |    US
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    Telephone            |    877-407-3422
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    Fax                  |    877-407-4329
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Provider Business Mailing Address
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    Address Line         |    7 CARNEGIE PLZ 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08003-1000
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    Country              |    US
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    Telephone            |    877-407-3422
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    Fax                  |    877-407-4329
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Authorized Official
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    Title or Position    |    CHIEF OF STAFF
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    Name                 |     NEIL  WEISSHAAR 
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    Credential           |    
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    Telephone            |    877-407-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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