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General NPI Number Information
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NPI Number | 1295473890
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Entity Type | Organization
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Legal Business Name | RK HEALTHCARE, INC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 14202 62ND ST N
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City | CLEARWATER
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State | FL
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Zip | 33760-2717
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Country | US
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Telephone | 727-799-1400
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Fax | 727-799-3958
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Provider Business Mailing Address
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Address Line | 14202 62ND ST N
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City | CLEARWATER
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State | FL
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Zip | 33760-2717
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Country | US
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Telephone | 727-799-1400
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Fax | 727-799-3958
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Authorized Official
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Title or Position | VP
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Name | COLIN CASTLE
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Credential |
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Telephone | 727-799-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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