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General NPI Number Information
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NPI Number | 1295561512
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Entity Type | Organization
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Legal Business Name | REBOUND REHABILITATIVE SERVICES INC
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 1821 BLANDING BLVD STE 2
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City | MIDDLEBURG
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State | FL
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Zip | 32068-3839
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Country | US
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Telephone | 904-567-6621
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Fax | 904-587-1510
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Provider Business Mailing Address
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Address Line | 105 SOUTHPARK BLVD STE B201
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-5159
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Country | US
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Telephone | 904-824-1636
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Fax | 904-824-7488
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEMANT DASHARATHLAL PATEL
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Credential | PT
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Telephone | 904-824-1636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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