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General NPI Number Information
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NPI Number | 1518990753
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Entity Type | Organization
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Legal Business Name | NRV ENTERPRISES INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 4141 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2131
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Country | US
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Telephone | 863-385-6119
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Fax | 863-385-9698
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Provider Business Mailing Address
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Address Line | 4141 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2131
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Country | US
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Telephone | 863-385-6119
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Fax | 863-385-9698
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROY G. ASUMBRADO
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Credential | RPT
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Telephone | 863-385-6119
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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 | 106953
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License Number State | FL
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