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General NPI Number Information
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NPI Number | 1922049303
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Entity Type | Organization
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Legal Business Name | CLERMONT AND AREA REHABILITATION SOLUTIONS INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 1705 E HWY 50 STE A
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City | CLERMONT
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State | FL
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Zip | 34711-5186
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Country | US
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Telephone | 352-404-4523
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Fax | 352-536-6996
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | MINNEOLA
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State | FL
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Zip | 34755-0648
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Country | US
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Telephone | 352-404-4523
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Fax | 352-536-6996
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Authorized Official
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Title or Position | CEO
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Name | MRS. JACQUELINE T WEEKES
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Credential | OTRL
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Telephone | 352-404-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 8760009368
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License Number State | FL
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