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General NPI Number Information
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NPI Number | 1184154809
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Entity Type | Organization
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Legal Business Name | NVAP REHAB LLC
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5922 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4324
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Country | US
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Telephone | 224-256-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 5922 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4324
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Country | US
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Telephone | 224-256-4228
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KINJAL JAYMIN DESAI
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Credential | MPT
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Telephone | 224-256-4228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT32576
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License Number State | FL
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