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General NPI Number Information
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NPI Number | 1811149982
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Entity Type | Organization
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Legal Business Name | REHAB SPECIALISTS INC. - WINTER HAVEN
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 435 S 11TH ST
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City | LAKE WALES
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State | FL
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Zip | 33853-4250
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Country | US
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Telephone | 863-678-9878
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Fax | 863-678-9879
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Provider Business Mailing Address
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Address Line | 435 S 11TH ST
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City | LAKE WALES
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State | FL
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Zip | 33853-4250
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Country | US
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Telephone | 863-678-9878
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Fax | 863-678-9879
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | MR. ACE STERLING ROXAS MEDINA
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Credential | OTR/L
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Telephone | 863-678-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT5986
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | OT5262
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT6404
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License Number State | FL
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