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General NPI Number Information
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NPI Number | 1982930970
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Entity Type | Organization
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Legal Business Name | UNITED THERAPY GROUP LLC
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 4511 SW 48TH AVE
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City | OCALA
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State | FL
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Zip | 34474-9626
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Country | US
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Telephone | 866-236-1808
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Fax | 866-660-1912
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Provider Business Mailing Address
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Address Line | 4511 SW 48TH AVE
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City | OCALA
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State | FL
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Zip | 34474-9626
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Country | US
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Telephone | 866-236-1808
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Fax | 866-660-1912
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Authorized Official
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Title or Position | CEO
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Name | MR. DARREN LOTOW
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Credential |
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Telephone | 352-514-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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