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General NPI Number Information
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NPI Number | 1962386185
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Entity Type | Organization
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Legal Business Name | READMISSION REHAB, LLC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3270 SUNTREE BLVD STE 208
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City | MELBOURNE
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State | FL
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Zip | 32940-7505
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Country | US
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Telephone | 321-403-6356
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Fax |
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Provider Business Mailing Address
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Address Line | 3802 SAN MIGUEL LN
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5376
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Country | US
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Telephone | 321-403-6356
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMEN ERAN JENKINS
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Credential |
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Telephone | 321-403-6356
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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 |
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License Number State |
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