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General NPI Number Information
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NPI Number | 1992286637
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Entity Type | Organization
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Legal Business Name | SELECT REHABILITATION
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location 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 | 877-787-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 225 TENNISON RD APT 1102
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City | MT PLEASANT
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State | TX
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Zip | 75455-9350
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | TAMMY HART
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Credential |
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Telephone | 903-574-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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