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General NPI Number Information
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NPI Number | 1265851794
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Entity Type | Organization
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Legal Business Name | UNIQUE REHABILITATION SERVICES OF FLORIDA INC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 2500 NW 79TH AVE STE 180
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City | DORAL
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State | FL
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Zip | 33122-1083
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Country | US
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Telephone | 786-356-8973
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Fax | 786-206-3826
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE STE 180
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City | DORAL
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State | FL
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Zip | 33122-1083
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Country | US
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Telephone | 786-356-8973
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Fax | 786-206-3826
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGELIO CESPEDES
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Credential |
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Telephone | 786-356-8973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | OS11815
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License Number State | FL
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