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General NPI Number Information
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NPI Number | 1487778478
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Entity Type | Organization
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Legal Business Name | RIOS REHAB CENTER LLC
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 11 S MELBOURNE ST
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3664
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Country | US
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Telephone | 352-527-9939
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 252
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City | LECANTO
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State | FL
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Zip | 34460-0252
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Country | US
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Telephone | 352-220-2653
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Fax | 352-527-4465
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Authorized Official
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Title or Position | PRESIDENT
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Name | FABIAN LUMAPAS
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Credential | PT
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Telephone | 352-212-1982
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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 | PT7073
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License Number State | FL
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