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General NPI Number Information
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NPI Number | 1659135689
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Entity Type | Organization
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Legal Business Name | EQUALSRQ INC.
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 2035 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34237-4341
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Country | US
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Telephone | 941-444-9736
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Fax |
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Provider Business Mailing Address
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Address Line | 5077 FRUITVILLE RD STE 109-243
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City | SARASOTA
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State | FL
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Zip | 34232-2272
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS
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Name | ARIN NORRIS
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Credential | JD
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Telephone | 941-375-9133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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