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General NPI Number Information
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NPI Number | 1922247121
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Entity Type | Organization
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Legal Business Name | NETWORK REHABILITATION INC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 2270 HIGHWAY 87 STE A
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City | NAVARRE
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State | FL
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Zip | 32566-3215
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Country | US
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Telephone | 850-240-9747
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Fax | 850-515-1023
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Provider Business Mailing Address
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Address Line | 2270 HIGHWAY 87 STE A
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City | NAVARRE
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State | FL
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Zip | 32566-3215
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Country | US
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Telephone | 850-240-9747
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Fax | 850-515-1023
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Authorized Official
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Title or Position | OWNER
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Name | MS. GAIL ELIZABETH STANGELAND
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Credential |
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Telephone | 850-217-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 576400200
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License Number State | FL
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