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General NPI Number Information
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NPI Number | 1053560615
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF FL. JACKSONVILLE
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 910 N JEFFERSON ST
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6810
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Country | US
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Telephone | 904-360-7022
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Fax | 904-798-4544
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-244-3131
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GUY I BENRUBI
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Credential | M.F.
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Telephone | 904-244-3131
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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