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General NPI Number Information
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NPI Number | 1821623117
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Entity Type | Organization
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Legal Business Name | RENEW THERAPY PARTNERS INC
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 347 WINDLEY DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-0047
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Country | US
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Telephone | 863-398-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 347 WINDLEY DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-0047
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Country | US
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Telephone | 863-398-7903
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Fax |
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Authorized Official
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Title or Position | OWNER/COO
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Name | DR. DANIEL CALVO
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Credential | OTD
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Telephone | 863-224-6493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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