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General NPI Number Information
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NPI Number | 1851442651
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Entity Type | Organization
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Legal Business Name | PHYSICIANS INJURY CARE CENTER
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5287 ALHAMBRA DR
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City | ORLANDO
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State | FL
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Zip | 32808-7203
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Country | US
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Telephone | 407-295-1441
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Fax | 407-292-2331
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Provider Business Mailing Address
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Address Line | 5287 ALHAMBRA DR
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City | ORLANDO
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State | FL
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Zip | 32808-7203
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Country | US
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Telephone | 407-295-1441
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Fax | 407-292-2331
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT B. COLVIN
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Credential |
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Telephone | 407-295-1441
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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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