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General NPI Number Information
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NPI Number | 1225467285
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Entity Type | Organization
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Legal Business Name | WEST KENDALL PHYSICAL THERAPY & HAND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 11/09/2013
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 13550 SW 88TH ST STE 110
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City | MIAMI
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State | FL
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Zip | 33186-1654
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Country | US
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Telephone | 305-408-7353
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Fax | 305-408-7355
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Provider Business Mailing Address
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Address Line | 13550 SW 88TH ST STE 110
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City | MIAMI
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State | FL
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Zip | 33186-1654
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Country | US
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Telephone | 305-408-7353
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Fax | 305-408-7355
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDALL BROWNING
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Credential | RN BSN PTA
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Telephone | 305-408-7353
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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 | HCC 7047
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License Number State | FL
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