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General NPI Number Information
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NPI Number | 1417000746
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Entity Type | Organization
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Legal Business Name | TBR & R INC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1507 SOUTH HIAWASSEE ROAD SUITE 215
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone | 407-447-2075
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 SOUTH HIAWASSEE ROAD SUITE 215
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City | ORLANDO
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State | FL
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Zip | 32835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YINA BUELVAS
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Credential | LMT
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Telephone | 407-447-2075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME0069749
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License Number State | FL
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