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NPI 1528004454

NPI 1528004454 : REHABILITATION AND ELECTRODIAGNOSTICS PA : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1528004454
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    Entity Type          |    Organization 
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    Legal Business Name  |    REHABILITATION AND ELECTRODIAGNOSTICS PA 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    09/25/2025
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Provider Practice Location Address
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    Address Line         |    625 E TWIGGS ST STE 103 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33602-3925
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    Country              |    US
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    Telephone            |    813-228-7696
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    Fax                  |    813-228-0677
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Provider Business Mailing Address
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    Address Line         |    625 E TWIGGS ST STE 103 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33602-3910
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    Country              |    US
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    Telephone            |    813-228-7696
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    Fax                  |    813-228-0677
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. VENERANDO I BATAS 
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    Credential           |    MD
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    Telephone            |    813-228-7696
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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       |    
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    License Number State |    
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