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General NPI Number Information
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NPI Number | 1396146692
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Entity Type | Organization
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Legal Business Name | D & D REHAB CENTER INC
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Dates
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Enumeration Date | 09/06/2014
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Last Update Date | 09/06/2014
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Provider Practice Location Address
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Address Line | 3412 W 84TH ST SUITE E 106
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City | HIALEAH
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State | FL
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Zip | 33018-4918
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Country | US
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Telephone | 305-827-7344
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Fax | 305-827-7382
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Provider Business Mailing Address
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Address Line | 3412 W 84TH ST SUITE E 106
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City | HIALEAH
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State | FL
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Zip | 33018-4918
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Country | US
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Telephone | 305-827-7344
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Fax | 305-827-7382
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXEI CARBONELL
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Credential |
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Telephone | 305-827-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC10174
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License Number State | FL
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