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General NPI Number Information
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NPI Number | 1063217826
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Entity Type | Organization
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Legal Business Name | REGIONAL REHAB ASSOCIATES, P.A.
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 150 TAMIAMI TRL N STE 1
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City | NAPLES
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State | FL
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Zip | 34102-6215
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Country | US
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Telephone | 239-331-8551
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Fax |
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Provider Business Mailing Address
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Address Line | 150 TAMIAMI TRL N STE 1
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City | NAPLES
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State | FL
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Zip | 34102-6215
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Country | US
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Telephone | 239-254-7778
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PETER JOHN JAFFE
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Credential | MD
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Telephone | 239-254-7778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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