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General NPI Number Information
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NPI Number | 1063512549
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Entity Type | Organization
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Legal Business Name | INSPIRE REHABILITATION SERVICES
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10923 RUSHWOOD WAY
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City | CLERMONT
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State | FL
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Zip | 34714-7545
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Country | US
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Telephone | 407-314-5006
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Fax | 352-536-9669
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Provider Business Mailing Address
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Address Line | 10923 RUSHWOOD WAY
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City | CLERMONT
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State | FL
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Zip | 34714-7545
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Country | US
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Telephone | 407-314-5006
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Fax | 352-536-9669
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | SAMARA D KING
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Credential | MSOTR/L
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Telephone | 407-314-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT11595
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License Number State | FL
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