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General NPI Number Information
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NPI Number | 1235370552
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Entity Type | Organization
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Legal Business Name | SPORTSCARE AND REHAB MANAGEMENT, LLC
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3105 LIMESTONE RD STE 100
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-239-2800
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Fax | 302-239-7500
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Provider Business Mailing Address
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Address Line | 3105 LIMESTONE RD STE 100
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-239-2800
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Fax | 302-239-7500
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | NATHAN ROBERTSON
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Credential |
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Telephone | 302-239-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0000360
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License Number State | DE
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Taxonomy #2
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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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