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General NPI Number Information
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NPI Number | 1760937981
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Entity Type | Organization
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Legal Business Name | MEDICAL AND REHAB OF HILLSBOROUGH INC.
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 8313 W HILLSBOROUGH AVE STE. 330
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City | TAMPA
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State | FL
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Zip | 33615-3816
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Country | US
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Telephone | 813-443-8221
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Fax | 813-443-1869
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Provider Business Mailing Address
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Address Line | 8313 W HILLSBOROUGH AVE STE. 330
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City | TAMPA
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State | FL
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Zip | 33615-3816
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Country | US
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Telephone | 813-443-8221
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Fax | 813-443-1869
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO HERNANDEZ
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Credential |
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Telephone | 813-443-8221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC10384
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License Number State | FL
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