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General NPI Number Information
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NPI Number | 1003647900
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Entity Type | Organization
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Legal Business Name | ATLANTIC REHABILITATION CENTER KNOXVILLE LLC
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 9309 KINGSTON PIKE STE C
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City | KNOXVILLE
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State | TN
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Zip | 37922-2399
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Country | US
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Telephone | 954-336-5639
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Fax |
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Provider Business Mailing Address
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Address Line | 16249 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-4300
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Country | US
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Telephone | 954-336-5639
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Fax | 305-405-0415
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH CAROCCIO
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Credential | DPT
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Telephone | 954-336-5639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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