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NPI 1073905956

NPI 1073905956 : ROYAL PALM BEACH REHAB, CORP : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1073905956
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROYAL PALM BEACH REHAB, CORP 
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Dates
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    Enumeration Date     |    03/02/2015
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    3900 HOLLYWOOD BLVD STE 204 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-6797
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    Country              |    US
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    Telephone            |    954-866-9693
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    Fax                  |    954-301-3975
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Provider Business Mailing Address
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    Address Line         |    4971 LE CHALET BLVD SUITE 100
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33436-1418
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    Country              |    US
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    Telephone            |    561-733-5590
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    Fax                  |    561-740-0714
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JOHN  PAPA 
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    Credential           |    D.C.
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    Telephone            |    561-801-2535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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