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General NPI Number Information
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NPI Number | 1043410228
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Entity Type | Organization
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Legal Business Name | PRECISION REHABILITY. LLC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 1446 N KROME AVE FL 102A
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City | FLORIDA CITY
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State | FL
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Zip | 33034-2432
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Country | US
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Telephone | 305-878-3231
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570046
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City | MIAMI
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State | FL
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Zip | 33257-0046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PATRUCE COLLIER
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Credential | P.T.
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Telephone | --
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT11484
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License Number State | FL
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