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General NPI Number Information
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NPI Number | 1982989307
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Entity Type | Organization
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Legal Business Name | ABILITY REHAB
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 520 REFLECTION CIRCLE APT.205
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-718-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 520 REFLECTIONS CIR APT 205
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City | CASSELBERRY
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State | FL
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Zip | 32707-6652
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Country | US
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Telephone | 407-718-6504
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Fax |
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | SHANA GUIDRY
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Credential |
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Telephone | 866-973-1043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | PTA22629
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License Number State | FL
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