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General NPI Number Information
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NPI Number | 1235335423
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Entity Type | Organization
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Legal Business Name | TOTAL CHOICE MEDICAL AND REHAB CENTER INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 2189 W 60TH ST STE 204
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City | HIALEAH
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State | FL
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Zip | 33016-2692
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Country | US
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Telephone | 305-827-4861
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Fax | 305-827-4821
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Provider Business Mailing Address
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Address Line | 2189 W 60TH ST STE 204
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City | HIALEAH
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State | FL
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Zip | 33016-2692
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Country | US
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Telephone | 305-827-4861
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Fax | 305-827-4821
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Authorized Official
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Title or Position | OWNER
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Name | PAUL GUADAGNO
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Credential |
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Telephone | 305-827-4861
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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 | 616039-4
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | HCC7530
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License Number State | FL
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