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General NPI Number Information
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NPI Number | 1326306663
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Entity Type | Organization
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Legal Business Name | CENTER TREATMENT OF REHABILITATION INC
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 2800 W 84TH ST SUITE 11
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City | HIALEAH
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State | FL
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Zip | 33018-4922
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Country | US
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Telephone | 305-631-2981
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Fax | 786-464-0686
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Provider Business Mailing Address
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Address Line | 2800 W 84TH ST SUITE 11
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City | HIALEAH
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State | FL
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Zip | 33018-4922
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Country | US
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Telephone | 305-631-2981
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Fax | 786-464-0686
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL ANDINO
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Credential |
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Telephone | 305-631-2981
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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 | MA 63594
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License Number State | FL
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