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General NPI Number Information
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NPI Number | 1164603775
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE REHABILITATION CENTER
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 4888 NW 183RD ST BAY 206
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2926
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Country | US
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Telephone | 786-299-4961
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Fax |
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Provider Business Mailing Address
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Address Line | 4888 NW 183 ST BAY 206
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City | MIAMI
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State | FL
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Zip | 33055
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Country | US
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Telephone | 786-299-4961
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | JOREG GARZON
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Credential |
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Telephone | 786-299-4961
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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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