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General NPI Number Information
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NPI Number | 1275550204
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Entity Type | Organization
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Legal Business Name | NEW MILLENIUM REHABILITATION CENTER INC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 5205 NW 74TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-4824
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Country | US
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Telephone | 305-418-4108
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Fax | 305-418-4081
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Provider Business Mailing Address
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Address Line | 5205 NW 74TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-4824
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Country | US
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Telephone | 305-418-4108
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Fax | 305-418-4081
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EZEQUIEL CUELLO
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Credential |
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Telephone | 305-418-4108
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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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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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