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General NPI Number Information
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NPI Number | 1053509919
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Entity Type | Organization
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Legal Business Name | REHABILITATION MEDICAL GROUP, PA
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 100 W GORE ST STE 500
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City | ORLANDO
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State | FL
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Zip | 32806-1049
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Country | US
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Telephone | 407-649-8707
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Fax | 407-649-8373
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Provider Business Mailing Address
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Address Line | 100 W GORE ST STE 500
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City | ORLANDO
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State | FL
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Zip | 32806-1049
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Country | US
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Telephone | 407-649-8707
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Fax | 407-649-8373
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL J CREAMER
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Credential | DO
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Telephone | 407-649-8707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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