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General NPI Number Information
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NPI Number | 1265463350
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Entity Type | Organization
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Legal Business Name | L.M. REHAB CARE, INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 706 SW 57TH AVE
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City | MIAMI
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State | FL
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Zip | 33144-3922
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Country | US
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Telephone | 305-267-9404
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Fax | 305-267-9890
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Provider Business Mailing Address
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Address Line | 706 SW 57TH AVE
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City | MIAMI
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State | FL
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Zip | 33144-3922
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Country | US
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Telephone | 305-267-9404
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Fax | 305-267-9890
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARICARMEN GONZALEZ
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Credential |
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Telephone | 305-542-4710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 686844
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License Number State | FL
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