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General NPI Number Information
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NPI Number | 1366168106
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Entity Type | Organization
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Legal Business Name | CHARUVIL REHABILITATION LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2960 LUCKIE RD
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City | WESTON
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State | FL
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Zip | 33331-3005
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Country | US
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Telephone | 754-204-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 LUCKIE RD
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City | WESTON
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State | FL
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Zip | 33331-3005
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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 | OWNER
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Name | HANNAH MATHEW
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Credential | PT, DPT
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Telephone | 754-204-2038
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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 |
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License Number State |
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