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General NPI Number Information
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NPI Number | 1396175097
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Entity Type | Organization
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Legal Business Name | U M CORAL WAY REHABILITATION CENTER INC
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 7235 CORAL WAY STE 214
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City | MIAMI
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State | FL
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Zip | 33155-1466
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Country | US
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Telephone | 305-261-2199
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Fax | 305-261-1202
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Provider Business Mailing Address
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Address Line | 7235 CORAL WAY STE 214
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City | MIAMI
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State | FL
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Zip | 33155-1466
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Country | US
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Telephone | 305-261-2199
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Fax | 305-261-1202
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANA MEJIAS
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Credential |
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Telephone | 305-261-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | HCC10833
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License Number State | FL
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