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General NPI Number Information
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NPI Number | 1366727315
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Entity Type | Organization
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Legal Business Name | REHAB MATTERS HOMEHEALTH INC.
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 107 S. FLORIDA AVENUE
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City | LAKELAND
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State | FL
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Zip | 33801
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Country | US
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Telephone | 863-682-4951
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Fax | 863-248-7709
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Provider Business Mailing Address
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Address Line | 4321 GUNN HWY
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City | TAMPA
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State | FL
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Zip | 33618-8729
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Country | US
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Telephone | 813-961-8262
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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. FERMIN ROLAND BACALSO ROTEA
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Credential | PT
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Telephone | 813-961-8262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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