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General NPI Number Information
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NPI Number | 1952781759
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Entity Type | Organization
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Legal Business Name | ROOSEVELT WARM SPRINGS REHABILITATION & SPECIALTY HOSPITALS, INC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 6135 ROOSEVELT HWY
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City | WARM SPRINGS
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State | GA
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Zip | 31830-2757
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Country | US
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Telephone | 706-655-5461
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Fax | 706-644-5457
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Provider Business Mailing Address
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Address Line | 6135 ROOSEVELT HWY
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City | WARM SPRINGS
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State | GA
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Zip | 31830-2757
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Country | US
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Telephone | 706-655-5461
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Fax | 706-644-5457
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Authorized Official
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Title or Position | SUPERVISOR
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Name | CONNIE THOMPSON
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Credential |
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Telephone | 706-721-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 059603
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 061328
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 034164
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 045791
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036164
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 073402
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 013142
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 047852
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 037166
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License Number State |
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Taxonomy #10
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 048738
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License Number State | GA
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Taxonomy #11
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 026588
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License Number State | GA
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Taxonomy #12
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 009537
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License Number State | GA
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Taxonomy #13
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 070267
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License Number State | GA
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