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General NPI Number Information
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NPI Number | 1134918477
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Entity Type | Organization
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Legal Business Name | RESTO ENTERPRISE LLC.
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 13922 58TH ST N STE 900
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City | CLEARWATER
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State | FL
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Zip | 33760-3771
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Country | US
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Telephone | 724-999-3189
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Fax | 727-222-1731
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Provider Business Mailing Address
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Address Line | 9007 W HAMILTON AVE
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City | TAMPA
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State | FL
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Zip | 33615-2700
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Country | US
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Telephone | 813-453-6891
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | PATRICE RESTO
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Credential |
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Telephone | 813-407-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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