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General NPI Number Information
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NPI Number | 1588957609
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Entity Type | Organization
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Legal Business Name | PALMA SOLA THERAPIES LLC
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 515 36TH ST. SUITE D
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City | BRADENTON
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State | FL
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Zip | 34205
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Country | US
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Telephone | 941-745-1313
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Fax | 941-745-1334
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Provider Business Mailing Address
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Address Line | 515 36TH ST W. SUITE D
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City | BRADENTON
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State | FL
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Zip | 34205
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Country | US
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Telephone | 941-745-1313
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Fax | 941-745-1334
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | KAROL L SCHUYLER
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Credential | R.N., M.M.T
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Telephone | 941-745-1313
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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 | MA4253
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License Number State | FL
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