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General NPI Number Information
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NPI Number | 1386678332
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Entity Type | Organization
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Legal Business Name | ROYAL COAST REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11200 W FLAGLER ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33174-4210
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Country | US
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Telephone | 305-445-8787
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Fax | 305-445-2747
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Provider Business Mailing Address
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Address Line | 11200 W FLAGLER ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33174-4210
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Country | US
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Telephone | 305-445-8787
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Fax | 305-445-2747
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. ELIZABETH VALENCIA
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Credential |
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Telephone | 305-445-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | HCC4779
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License Number State | FL
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