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General NPI Number Information
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NPI Number | 1033317318
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Entity Type | Organization
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Legal Business Name | REHAB INDEPENDENCE
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 20255 NW 3RD AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2518
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Country | US
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Telephone | 305-651-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 20255 NW 3RD AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2518
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Country | US
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Telephone | 305-651-1757
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. CHAUNTE TRENISE WEECH
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Credential | OTR
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Telephone | 786-277-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT11897
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PTA 18652
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | OT11897
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | PTA 18652
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | OT11897
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | OT11897
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | PTA18652
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | OT11897
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License Number State | FL
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