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General NPI Number Information
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NPI Number | 1932109071
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Entity Type | Organization
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Legal Business Name | SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3488 E LAKE RD SUITE 301
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City | PALM HARBOR
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State | FL
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Zip | 34685-2404
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Country | US
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Telephone | 727-786-1996
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Fax | 727-789-2111
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD LEGAL DEPARTMENT
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone | 717-972-1100
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Fax | 717-975-9981
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOHN F DUGGAN
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Credential |
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Telephone | 717-972-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | FL
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