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General NPI Number Information
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NPI Number | 1245657576
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Entity Type | Organization
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Legal Business Name | RESTORATIVE CARE INC.
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 4121 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-2469
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Country | US
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Telephone | 352-340-5924
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Fax | 352-340-5926
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Provider Business Mailing Address
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Address Line | 4121 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-2469
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Country | US
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Telephone | 352-340-5924
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Fax | 352-340-5926
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES HALLATT
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Credential | DPT
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Telephone | 352-340-5924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State | FL
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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 | FL
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