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General NPI Number Information
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NPI Number | 1174526743
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Entity Type | Organization
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Legal Business Name | PSYCHOSOCIAL REHABILITATION CENTER INC
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 5711 S DIXIE HWY
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3602
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Country | US
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Telephone | 305-667-1036
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Fax | 305-667-4938
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Provider Business Mailing Address
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Address Line | 5711 S DIXIE HWY
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3602
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Country | US
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Telephone | 305-667-1036
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Fax | 305-667-4938
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Authorized Official
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Title or Position | PRESIDENT AND
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Name | ROSEMARY JULIANA SMITH HOEL
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Credential |
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Telephone | 305-667-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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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 | FL
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