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General NPI Number Information
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NPI Number | 1326327065
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Entity Type | Organization
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Legal Business Name | QUALITY REHAB TRANSPORTATION,INC.
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 4115 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-5114
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Country | US
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Telephone | 786-326-0917
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Fax | 786-431-2447
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Provider Business Mailing Address
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Address Line | 4115 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-5114
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Country | US
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Telephone | 786-326-0917
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Fax | 786-431-2447
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS ENRIQUE RUIZ
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Credential |
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Telephone | 786-389-2248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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