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General NPI Number Information
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NPI Number | 1124100557
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC REHABILITATION SPECIALISTS, INC.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/22/2017
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Provider Practice Location Address
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Address Line | 8720 N KENDALL DR SUITE 206
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City | MIAMI
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State | FL
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Zip | 33176-2299
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Country | US
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Telephone | 305-595-9425
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Fax | 305-595-8492
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Provider Business Mailing Address
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Address Line | 8720 N KENDALL DR SUITE 206
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City | MIAMI
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State | FL
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Zip | 33176-2299
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Country | US
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Telephone | 305-595-9425
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Fax | 305-595-8492
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. JEFFREY T STENBACK
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Credential | P.T., O.C.S.
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Telephone | 305-595-9425
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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 | PT3865
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License Number State | FL
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