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General NPI Number Information
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NPI Number | 1033995147
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Entity Type | Organization
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Legal Business Name | REM REHABILITATION & WELLNESS, LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 14815 MANDARIN RD STE 102
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City | JACKSONVILLE
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State | FL
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Zip | 32223-2607
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Country | US
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Telephone | 803-743-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 922 1ST ST S APT 101
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-6548
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Country | US
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Telephone | 180-374-3291
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JOHN STEVEN REMENSNYDER
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Credential | DPT
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Telephone | 803-743-2919
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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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