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General NPI Number Information
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NPI Number | 1740733567
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Entity Type | Organization
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Legal Business Name | QUALITY REHABILITATION INC.
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 3420 TAMIAMI TRL SUITE# 1
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8126
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Country | US
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Telephone | 941-286-3104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 511307
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City | PUNTA GORDA
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State | FL
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Zip | 33951-1307
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Country | US
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Telephone | 941-286-3104
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KHALED A TEMRAZ
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Credential | P.T.
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Telephone | 941-286-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | FL
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