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General NPI Number Information
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NPI Number | 1487878450
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Entity Type | Organization
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Legal Business Name | POSITIVE CARE REHABILITATION THERAPIES, LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 502 5TH AVENUE DR E
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City | BRADENTON
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State | FL
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Zip | 34208-2006
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Country | US
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Telephone | 941-747-5847
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Fax | 941-747-4865
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Provider Business Mailing Address
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Address Line | 502 5TH AVENUE DR E
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City | BRADENTON
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State | FL
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Zip | 34208-2006
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Country | US
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Telephone | 941-747-5847
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Fax | 941-747-4865
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Authorized Official
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Title or Position | SENIOR PHYSICAL THERAPISTS
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Name | MR. DEXTER NOLAND MCDONALD
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Credential | RPT
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Telephone | 941-747-5847
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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 | PT4414
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License Number State | FL
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