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General NPI Number Information
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NPI Number | 1104964220
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Entity Type | Organization
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Legal Business Name | SB REHABILITATION INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 1401 S MILITARY TRL SUITE J1
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5720
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Country | US
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Telephone | 561-436-9597
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S MILITARY TRL SUITE J1
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-5720
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Country | US
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Telephone | 561-436-9597
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEIRAM DE LAS CAGIGAS
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Credential |
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Telephone | 561-436-9597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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