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General NPI Number Information
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NPI Number | 1780060111
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Entity Type | Organization
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Legal Business Name | HEALTH & HEALING REHAB SERVICES
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 2 BRADFORD RIDGE CT
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City | COLUMBIA
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State | SC
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Zip | 29223-7136
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Country | US
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Telephone | 803-665-6527
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Fax | 803-699-2270
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Provider Business Mailing Address
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Address Line | 2 BRADFORD RIDGE CT
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City | COLUMBIA
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State | SC
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Zip | 29223-7136
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Country | US
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Telephone | 803-665-6527
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Fax | 803-699-2270
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MR. RICARDO HOLMES SR.
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Credential | OTR/L
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Telephone | 803-665-6527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2345
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License Number State | SC
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