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General NPI Number Information
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NPI Number | 1942566328
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Entity Type | Organization
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Legal Business Name | DISABILITY RESOURCE CENTER
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 625 N HIGHWAY 231
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City | PANAMA CITY
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State | FL
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Zip | 32405-4704
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Country | US
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Telephone | 850-769-6890
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Fax | 850-769-6891
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Provider Business Mailing Address
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Address Line | 625 N HIGHWAY 231
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City | PANAMA CITY
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State | FL
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Zip | 32405-4704
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Country | US
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Telephone | 850-769-6890
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Fax | 850-769-6891
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT CARTER COX
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Credential |
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Telephone | 850-769-6890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 003153400
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License Number State | FL
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