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General NPI Number Information
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NPI Number | 1528285301
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Entity Type | Organization
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Legal Business Name | SRS REHAB INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 9970 CENTRAL PARK BLVD N STE 300B
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City | BOCA RATON
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State | FL
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Zip | 33428-2237
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Country | US
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Telephone | 561-487-7874
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Fax | 561-487-7884
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Provider Business Mailing Address
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Address Line | PO BOX 546976
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City | SURFSIDE
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State | FL
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Zip | 33154-6976
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Country | US
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Telephone | 877-993-2121
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Fax | 954-622-9120
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICH HENRY HOFFMAN
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Credential |
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Telephone | 561-312-1120
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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