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General NPI Number Information
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NPI Number | 1306110382
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Entity Type | Organization
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Legal Business Name | HRGS, INC
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 4978 MILLENIA BLVD SUITE D
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City | ORLANDO
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State | FL
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Zip | 32839-6058
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Country | US
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Telephone | 407-601-7840
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Fax |
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Provider Business Mailing Address
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Address Line | 4978 MILLENIA BLVD SUITE D
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City | ORLANDO
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State | FL
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Zip | 32839-6058
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Country | US
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Telephone | 407-601-7840
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Fax |
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Authorized Official
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Title or Position | PT
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Name | RONALD VANDERKUYL
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Credential | OWNER
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Telephone | 407-601-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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