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General NPI Number Information
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NPI Number | 1306302336
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Entity Type | Organization
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Legal Business Name | AUTO ACCIDENT PAIN & REHAB, LLC
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 02/14/2019
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Provider Practice Location Address
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Address Line | 907 N. DUPENT HWY, SUITE 103
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City | MILFORD
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State | DE
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Zip | 19963
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Country | US
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Telephone | 302-333-9288
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 207
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 302-333-9288
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERTO THELUSMA
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Credential |
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Telephone | 302-333-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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