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General NPI Number Information
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NPI Number | 1598993032
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Entity Type | Organization
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Legal Business Name | NEURO ORTHOPEDIC REHAB ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 12440 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-2628
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Country | US
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Telephone | 352-684-5299
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Fax | 352-688-8744
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Provider Business Mailing Address
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Address Line | 4142 MARINER BLVD # 414
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City | SPRING HILL
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State | FL
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Zip | 34609-2468
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Country | US
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Telephone | 352-684-5299
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Fax | 352-688-8744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATIA G SANTOS
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Credential | M.D.
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Telephone | 727-495-2773
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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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