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NPI 1376712216

NPI 1376712216 : GULF COAST THERAPY AND REHABILITATION CENTER INC : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1376712216
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    Entity Type          |    Organization 
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    Legal Business Name  |    GULF COAST THERAPY AND REHABILITATION CENTER INC 
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Dates
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    Enumeration Date     |    02/25/2008
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    Last Update Date     |    04/16/2009
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Provider Practice Location Address
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    Address Line         |    217 AIRPORT RD S 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34104-3531
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    Country              |    US
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    Telephone            |    239-775-2449
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    217 AIRPORT RD S 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34104-3531
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    Country              |    US
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    Telephone            |    239-775-2449
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CURTIS EDSEL GARNER 
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    Credential           |    DC
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    Telephone            |    305-433-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    CH8096
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    License Number State |    FL
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