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General NPI Number Information
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NPI Number | 1083819700
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Entity Type | Organization
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Legal Business Name | REHAB HEALTH PARTNERS LAKE WALES
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1112 DRUID CIR
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City | LAKE WALES
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State | FL
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Zip | 33853-4307
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Country | US
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Telephone | 863-679-7833
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Fax | 863-679-1532
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Provider Business Mailing Address
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Address Line | PO BOX 1838
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City | LAKELAND
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State | FL
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Zip | 33802-1838
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Country | US
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Telephone | 863-679-7833
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Fax | 863-679-1532
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Authorized Official
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Title or Position | SENIOR VP
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Name | SHARON RICHTER
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Credential | RN
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Telephone | 863-687-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic 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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