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General NPI Number Information
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NPI Number | 1548624125
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Entity Type | Organization
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Legal Business Name | RECREATIONAL THERAPEUTIC SERVICES CORP
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 14201 W SUNRISE BLVD SUITE 208
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City | SUNRISE
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State | FL
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Zip | 33323-3207
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Country | US
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Telephone | 786-391-8450
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Fax | 954-252-1954
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Provider Business Mailing Address
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Address Line | 11231 NW 27TH ST
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City | PLANTATION
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State | FL
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Zip | 33323-1865
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Country | US
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Telephone | 786-391-8450
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Fax | 954-252-1954
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAUL JOHNSON
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Credential |
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Telephone | 786-295-3619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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