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General NPI Number Information
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NPI Number | 1184982126
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Entity Type | Organization
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Legal Business Name | GRL THERAPY & REHABILITATION CORP
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 4954 PIMLICO CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-9116
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Country | US
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Telephone | 786-768-0533
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6532
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-6532
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Country | US
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Telephone | 786-768-0533
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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. GEORGY RODRIGUEZ
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Credential | MA
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Telephone | 786-768-0533
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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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