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General NPI Number Information
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NPI Number | 1982261970
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Entity Type | Organization
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Legal Business Name | JOINT RECOVERY SERVICES LLC
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 1918 E FRONT ST STE A
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City | TYLER
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State | TX
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Zip | 75702-8511
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Country | US
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Telephone | 903-705-5008
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Fax | 903-609-1619
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Provider Business Mailing Address
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Address Line | 1918 E FRONT ST STE A
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City | TYLER
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State | TX
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Zip | 75702-8511
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Country | US
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Telephone | 903-705-5008
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. RICHA KOHLI
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Credential |
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Telephone | 903-705-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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