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General NPI Number Information
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NPI Number | 1134658149
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Entity Type | Organization
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Legal Business Name | GLG REHABILITATION CENTER INC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7171 CORAL WAY STE 505
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City | MIAMI
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State | FL
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Zip | 33155-1694
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Country | US
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Telephone | 305-640-5560
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Fax | 786-309-8242
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Provider Business Mailing Address
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Address Line | 7171 CORAL WAY STE 100-505
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City | MIAMI
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State | FL
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Zip | 33155-1449
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Country | US
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Telephone | 305-640-5560
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Fax | 305-640-5294
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Authorized Official
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Title or Position | OWNER
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Name | LEIMIS RODRIGUEZ AVILA
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Credential |
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Telephone | 305-640-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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