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General NPI Number Information
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NPI Number | 1669304796
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Entity Type | Organization
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Legal Business Name | CORA HEALTH SERVICES, INC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 2160 HOWLAND BLVD STE 114
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City | DELTONA
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State | FL
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Zip | 32738-3468
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Country | US
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Telephone | 419-216-9913
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Fax |
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Provider Business Mailing Address
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Address Line | 3745 SHAWNEE RD STE 103
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City | LIMA
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State | OH
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Zip | 45806-1660
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Country | US
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Telephone | 786-204-1050
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Fax |
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Authorized Official
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Title or Position | PAYER RELATIONS
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Name | STEPHANIE GUTIERREZ
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Credential |
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Telephone | 419-216-9913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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