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General NPI Number Information
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NPI Number | 1033220116
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Entity Type | Organization
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Legal Business Name | R & R OUTPATIENT LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2516 SW 27TH AVE
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City | OCALA
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State | FL
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Zip | 34474-4490
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Country | US
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Telephone | 352-629-6600
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Fax | 352-351-0301
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Provider Business Mailing Address
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Address Line | 2516 SW 27TH AVE
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City | OCALA
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State | FL
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Zip | 34474-4490
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Country | US
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Telephone | 352-629-6600
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Fax | 352-351-0301
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DENISE A. BIRD
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Credential | CEO/OWNER
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Telephone | 352-629-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 686661
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License Number State | FL
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