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General NPI Number Information
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NPI Number | 1013886613
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Entity Type | Organization
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Legal Business Name | ONE PLACE REHAB, LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 5214 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-5524
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Country | US
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Telephone | 941-541-4571
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Fax | 941-212-3604
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Provider Business Mailing Address
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Address Line | 8039 COOPER CREEK BLVD STE 102
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City | UNIVERSITY PARK
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State | FL
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Zip | 34201-3007
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Country | US
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Telephone | 941-405-3557
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Fax | 941-248-0228
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Authorized Official
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Title or Position | MANAGER
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Name | KEVIN DELGADO VELASCO
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Credential | PT
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Telephone | 347-549-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical 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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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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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