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General NPI Number Information
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NPI Number | 1366510075
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Entity Type | Organization
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Legal Business Name | BISCAYNE NEUROLOGIC REHABILITATION CENTER INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15921 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-4611
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Country | US
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Telephone | 305-940-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 15921 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-4611
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Country | US
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Telephone | 305-940-8099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL GOLDIN
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Credential | DS
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Telephone | 305-940-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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