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NPI 1700843414

NPI 1700843414 : COMMUNITY REHAB SERVICES, INC. : FORT MYERS, FL

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General NPI Number Information
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    NPI Number           |    1700843414
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNITY REHAB SERVICES, INC. 
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Dates
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    Enumeration Date     |    04/27/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1650 MEDICAL LN 
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    City                 |    FORT MYERS
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    State                |    FL
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    Zip                  |    33907-1109
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    Country              |    US
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    Telephone            |    239-277-9818
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    Fax                  |    239-277-9289
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Provider Business Mailing Address
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    Address Line         |    838 SW 56TH ST 
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    City                 |    CAPE CORAL
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    State                |    FL
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    Zip                  |    33914-7223
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BARBARA  MEUSSNER 
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    Credential           |    
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    Telephone            |    239-277-9818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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