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General NPI Number Information
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NPI Number | 1851324404
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Entity Type | Organization
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Legal Business Name | CORA HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 5195 W ATLANTIC AVE STE G-I
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8171
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Country | US
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Telephone | 561-637-7195
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Fax | 561-638-2791
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Provider Business Mailing Address
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Address Line | PO BOX 150
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City | LIMA
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State | OH
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Zip | 45802-0150
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Country | US
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Telephone | 419-221-6717
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Fax | 419-222-0507
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. STEPHEN KRZYMINSKI
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Credential |
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Telephone | 419-221-6717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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