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General NPI Number Information
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NPI Number | 1144502576
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Entity Type | Organization
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Legal Business Name | RENEW MEDICAL AND REHABILITATION CENTER INC
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 10300 SW 72ND ST STE 323
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City | MIAMI
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State | FL
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Zip | 33173-3020
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Country | US
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Telephone | 305-271-3703
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 SW 72ND ST STE 323
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City | MIAMI
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State | FL
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Zip | 33173-3020
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Country | US
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Telephone | 305-271-3703
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD BARRIOS
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Credential |
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Telephone | 305-271-3703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MM 27529
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License Number State | FL
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