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General NPI Number Information
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NPI Number | 1154542488
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Entity Type | Organization
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Legal Business Name | CORA REHABILITATION
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1940 BRUCE B DOWNS BLVD SUITE 107
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-9262
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Country | US
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Telephone | 813-991-1555
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Fax | 813-991-1515
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Provider Business Mailing Address
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Address Line | 10541 MARTINIQUE ISLE AVE
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City | TAMPA
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State | FL
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Zip | 33647-2775
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Country | US
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Telephone | 813-982-2674
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. ELLAINE HERNANDEZ SAPIN-ANCHETA
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Credential | PT
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Telephone | 813-991-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT16594
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License Number State | FL
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