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General NPI Number Information
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NPI Number | 1679673594
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Entity Type | Organization
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Legal Business Name | H2 REHABILITATION SERVICES OF FLORIDA LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/19/2023
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Provider Practice Location Address
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Address Line | 1215 DUNN AVE SUITE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32218-6330
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Country | US
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Telephone | 904-751-2000
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Fax | 904-751-2500
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Provider Business Mailing Address
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Address Line | 484 RIVERSIDE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32202-4912
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Country | US
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Telephone | 800-699-9395
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | AMANDA STREETER
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Credential |
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Telephone | 800-699-9395
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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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