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General NPI Number Information
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NPI Number | 1730931890
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Entity Type | Organization
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Legal Business Name | PREMIER REHABILITATION SPECIALISTS LLC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 806 NW 16TH AVE UNIT 287
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City | GAINESVILLE
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State | FL
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Zip | 32601-4012
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Country | US
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Telephone | 267-712-9894
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Fax |
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Provider Business Mailing Address
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Address Line | 419 SW 16TH AVE
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City | OCALA
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State | FL
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Zip | 34471
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Country | US
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Telephone | 267-712-9894
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SHAMMI PATEL
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Credential | DO
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Telephone | 267-712-9894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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