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General NPI Number Information
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NPI Number | 1326309287
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Entity Type | Organization
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Legal Business Name | RELIEF REHABILITATION AND MEDICAL CENTER
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 5590 W 20TH AVE STE 402
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City | HIALEAH
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State | FL
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Zip | 33016-7062
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Country | US
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Telephone | 305-558-3074
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Fax | 305-558-3075
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Provider Business Mailing Address
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Address Line | 5590 W 20TH AVE STE 402
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City | HIALEAH
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State | FL
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Zip | 33016-7062
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Country | US
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Telephone | 305-558-3074
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Fax | 305-558-3075
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUEL GRAU VELAZQUEZ
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Credential |
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Telephone | 305-558-3074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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