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General NPI Number Information
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NPI Number | 1861800120
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Entity Type | Organization
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Legal Business Name | PEOPLE'S AID REHAB GROUP INC
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 1655 E SEMORAN BLVD SUITE 30
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City | APOPKA
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State | FL
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Zip | 32703-5624
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Country | US
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Telephone | 407-712-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 E SEMORAN BLVD SUITE 30
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City | APOPKA
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State | FL
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Zip | 32703-5624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEDRO ROBLES
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Credential |
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Telephone | 407-712-4442
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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 | 50001125688
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License Number State | FL
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