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NPI 1306087879

NPI 1306087879 : MEDICAL REHAB SERVICES INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1306087879
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL REHAB SERVICES INC 
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Dates
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    Enumeration Date     |    03/13/2009
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    Last Update Date     |    03/13/2009
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Provider Practice Location Address
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    Address Line         |    8260 W FLAGLER ST SUITE 2M
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33144-2069
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    Country              |    US
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    Telephone            |    305-541-2494
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    Fax                  |    305-541-2496
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Provider Business Mailing Address
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    Address Line         |    1990 SW 1ST ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33135-1640
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    Country              |    US
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    Telephone            |    305-541-2494
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    Fax                  |    305-541-2496
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Authorized Official
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    Title or Position    |    PRESIDENT/ OWNER
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    Name                 |     JOSE A RODRIGUEZ 
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    Credential           |    
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    Telephone            |    305-541-2494
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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       |    686872
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    License Number State |    FL
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