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Sean
Hiller
RPT
Contract Details
Vulcan Performance Rehabilitation and Recovery
Facility name
Provider ID
P000000001
NPI
1578087698
Tax ID
822385885
Effective Date
2/8/2019
Last Updated
11/5/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
3918 Montclair Road Suite 101
Birmingham, AL 35213
United States
Phone
205-761-1068
(
Phone
)
Billing Details
Address
3918 Montclair Road
Suite 101
Birmingham, AL 35213
Billing Phone
205-761-1068
Specialty Type
Physical Therapy
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