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General NPI Number Information
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NPI Number | 1245275387
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Entity Type | Organization
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Legal Business Name | HOME REHAB SOLUTIONS LLC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 2500 W LAKE MARY BLVD SUITE 213
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City | LAKE MARY
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State | FL
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Zip | 32746-3501
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Country | US
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Telephone | 321-277-1983
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Fax | 407-386-6132
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Provider Business Mailing Address
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Address Line | 2500 W LAKE MARY BLVD SUITE 213
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City | LAKE MARY
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State | FL
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Zip | 32746-3501
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Country | US
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Telephone | 321-277-1983
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Fax | 407-386-6132
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. JAMES JONATHAN INDA
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Credential | OTR/L
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Telephone | 321-277-1983
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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 | PT21068
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9735
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License Number State | FL
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