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General NPI Number Information
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NPI Number | 1346865573
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Entity Type | Organization
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Legal Business Name | RESTORATIVE REHAB SOLUTIONS
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 06/12/2020
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Provider Practice Location Address
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Address Line | 100 NW 73RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-7218
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Country | US
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Telephone | 786-287-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NW 73RD AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-7218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | CHAUNCEY MICHELLE JOSEPH
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Credential |
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Telephone | 786-287-4553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number |
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License Number State |
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