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General NPI Number Information
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NPI Number | 1659733095
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Entity Type | Organization
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Legal Business Name | REHAB STAFFING SOLUTIONS
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 13517 NE 86TH DR
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City | LADY LAKE
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State | FL
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Zip | 32159-8912
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Country | US
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Telephone | 352-350-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 13780 SE 100TH AVE
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City | BELLEVIEW
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State | FL
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Zip | 34420-6955
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Country | US
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Telephone | 352-239-1550
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LISA CANTRELL
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Credential | PTA
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Telephone | 352-239-1550
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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 | PT15361
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License Number State | FL
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