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General NPI Number Information
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NPI Number | 1982801783
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Entity Type | Organization
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Legal Business Name | REHAB PHYSICIANS LLC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1609 PASADENA AVE S # 3 - H
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4565
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Country | US
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Telephone | 727-345-9615
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Fax | 727-345-9635
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Provider Business Mailing Address
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Address Line | 3152 LITTLE RD # 162
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City | TRINITY
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State | FL
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Zip | 34655-1864
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Country | US
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Telephone | 727-376-6578
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Fax | 727-376-6784
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINE J WEOT
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Credential | M.D.
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Telephone | 727-345-9615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME75632
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License Number State | FL
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