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General NPI Number Information
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NPI Number | 1427328558
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Entity Type | Organization
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Legal Business Name | EXCEL REHAB SERVICES
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 10031 PINES BLVD SUITE 217
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6179
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Country | US
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Telephone | 305-389-1769
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Fax | 954-441-4458
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Provider Business Mailing Address
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Address Line | 10031 PINES BLVD SUITE 217
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6179
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Country | US
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Telephone | 305-389-1769
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Fax | 954-441-4458
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIVIA BINETT
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Credential | OT
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Telephone | 305-389-1769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4221
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License Number State | FL
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