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General NPI Number Information
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NPI Number | 1366788523
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Entity Type | Organization
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Legal Business Name | SOLUTION MEDICAL REHABILITATION
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 3980 TAMPA RD SUIT#204
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 813-336-4926
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Fax | 813-336-4930
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Provider Business Mailing Address
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Address Line | 3980 TAMPA RD SUIT#204
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 813-336-4926
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Fax | 813-336-4930
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Authorized Official
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Title or Position | MANAGER
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Name | ISRAEL ALONSO
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Credential |
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Telephone | 813-336-4926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MM28041
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License Number State | FL
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