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General NPI Number Information
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NPI Number | 1700598091
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Entity Type | Organization
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Legal Business Name | SPINE REHAB MEDICINE SPRING HILL, LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 1234 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5657
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Country | US
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Telephone | 352-688-3301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1989
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City | LUTZ
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State | FL
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Zip | 33548-1989
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Country | US
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Telephone | 352-650-9130
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SUHAS KULKARNI
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Credential | MD
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Telephone | 352-650-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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