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General NPI Number Information
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NPI Number | 1366682965
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Entity Type | Organization
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Legal Business Name | HIAWASSEE HEALTH & REHAB CENTER
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6500 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-7800
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Country | US
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Telephone | 407-403-5400
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Fax | 407-403-5401
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Provider Business Mailing Address
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Address Line | 6500 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-7800
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Country | US
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Telephone | 407-403-5400
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Fax | 407-403-5401
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RODRIGUE BOSSOUS
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Credential |
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Telephone | 407-403-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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Taxonomy #2
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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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