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General NPI Number Information
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NPI Number | 1154445948
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Entity Type | Organization
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Legal Business Name | HOME CARE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 6649 MARBELLA LN
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City | NAPLES
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State | FL
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Zip | 34105-5048
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Country | US
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Telephone | 914-844-7537
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Fax |
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Provider Business Mailing Address
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Address Line | 6649 MARBELLA LN
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City | NAPLES
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State | FL
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Zip | 34105-5048
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Country | US
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Telephone | 914-844-7537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICO KINTANAR SABULAO
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Credential | P.T.
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Telephone | 914-844-7537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010548-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 010548-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 010548-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 010548-1
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License Number State | NY
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Taxonomy #5
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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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