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General NPI Number Information
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NPI Number | 1295124329
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Entity Type | Organization
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Legal Business Name | ADVANCED REHAB SPECIALTIES P.A.
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 616 N PALMETTO ST
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City | LEESBURG
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State | FL
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Zip | 34748-4417
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Country | US
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Telephone | 352-702-0850
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Fax | 352-530-2476
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Provider Business Mailing Address
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Address Line | 616 N PALMETTO ST
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City | LEESBURG
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State | FL
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Zip | 34748-4417
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Country | US
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Telephone | 352-702-0850
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Fax | 352-530-2476
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. KIMBERLY LEANN ALLMAN
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Credential |
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Telephone | 352-530-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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