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General NPI Number Information
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NPI Number | 1982799516
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Entity Type | Organization
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Legal Business Name | TRI-VISTA REHAB, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 90 CLARK BLVD A
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City | TUPELO
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State | MS
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Zip | 38804-2801
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Country | US
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Telephone | 662-840-0535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3592
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City | TUPELO
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State | MS
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Zip | 38803
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Country | US
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Telephone | 662-840-0535
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Fax | 662-842-7915
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN TROY BOUTIN
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Credential | OTR
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Telephone | 662-231-7304
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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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