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General NPI Number Information
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NPI Number | 1063876712
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Entity Type | Organization
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Legal Business Name | MEDICAL REHAB CENTER, CORP
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 8181 NW 36TH ST SUITE 1003
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone | 786-817-5439
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Fax | 305-463-9369
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Provider Business Mailing Address
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Address Line | 8181 NW 36TH ST SUITE 1003
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City | DORAL
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State | FL
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Zip | 33166-6671
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Country | US
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Telephone | 786-817-5439
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Fax | 305-463-9369
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL F MORENO
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Credential |
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Telephone | 786-817-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MA42951
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License Number State | FL
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