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General NPI Number Information
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NPI Number | 1679620710
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA REHABILITATION, INC.
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 404 NW HALL OF FAME DR
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City | LAKE CITY
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State | FL
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Zip | 32055-4833
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Country | US
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Telephone | 386-758-2238
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Fax | 386-758-2071
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Provider Business Mailing Address
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Address Line | PO BOX 2134
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City | LAKE CITY
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State | FL
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Zip | 32056-2134
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Country | US
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Telephone | 386-758-2238
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JANET S. OAKES
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Credential |
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Telephone | 386-758-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT5220
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License Number State | FL
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