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General NPI Number Information
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NPI Number | 1447437611
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Entity Type | Organization
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Legal Business Name | OMNI REHAB SERVICES LLLP
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 750 OFFICE PLAZA BLVD SUITE 305 #13
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City | KISSIMMEE
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State | FL
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Zip | 34744-5513
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Country | US
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Telephone | 407-932-1882
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Fax | 407-847-7575
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Provider Business Mailing Address
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Address Line | 750 OFFICE PLAZA BLVD SUITE 305 #13
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City | KISSIMMEE
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State | FL
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Zip | 34744-5513
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Country | US
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Telephone | 407-932-1882
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Fax | 407-847-7575
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PRECIOSO P TIMONERA
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Credential |
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Telephone | 407-932-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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