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General NPI Number Information
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NPI Number | 1972548022
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Entity Type | Organization
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Legal Business Name | FLORIDA THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 2711 W 15TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-1366
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Country | US
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Telephone | 850-769-6001
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Fax | 850-769-6003
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Provider Business Mailing Address
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Address Line | 2711 W 15TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-1366
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Country | US
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Telephone | 850-769-6001
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Fax | 850-769-6003
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. JAMES ROLLIN CABLE
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Credential |
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Telephone | 850-769-6001
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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 |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | FL
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