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General NPI Number Information
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NPI Number | 1184223828
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Entity Type | Organization
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Legal Business Name | J.R.THERAPY INC
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 17987 SW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4403
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Country | US
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Telephone | 786-346-4386
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Fax | 954-450-9603
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Provider Business Mailing Address
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Address Line | 17987 SW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4403
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Country | US
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Telephone | 786-346-4386
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Fax | 954-450-9604
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH RODRIGUEZ
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Credential | RPT
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Telephone | 786-346-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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