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General NPI Number Information
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NPI Number | 1073801122
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Entity Type | Organization
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Legal Business Name | FERNANDEZ REHABILITATION CORP
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 9285 SW 125TH AVE 206
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City | MIAMI
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State | FL
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Zip | 33186-7184
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Country | US
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Telephone | 305-381-2523
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Fax | 305-392-1722
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Provider Business Mailing Address
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Address Line | PO BOX 350593
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City | MIAMI
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State | FL
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Zip | 33135-0593
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Country | US
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Telephone | 305-381-2523
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Fax | 305-392-1722
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | SERGIO FERNANDEZ
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Credential |
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Telephone | 305-381-2523
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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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