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General NPI Number Information
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NPI Number | 1407288111
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Entity Type | Organization
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Legal Business Name | BIOFIT HEALTH & REHAB INC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 9415 SUNSET DR 143
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City | MIAMI
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State | FL
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Zip | 33173-5427
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Country | US
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Telephone | 305-270-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 9415 SUNSET DR 143
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City | MIAMI
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State | FL
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Zip | 33173-5427
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Country | US
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Telephone | 305-270-0888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN LEMUAL COSBY
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Credential | D.O.
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Telephone | 305-270-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS8239
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License Number State | FL
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