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General NPI Number Information
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NPI Number | 1427341817
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Entity Type | Organization
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Legal Business Name | BROTHERS TAYLOR REHABILITATION CENTER, INC
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 711 E 9TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4553
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Country | US
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Telephone | 305-863-1654
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Fax |
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Provider Business Mailing Address
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Address Line | 711 E 9TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-4553
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Country | US
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Telephone | 305-863-1654
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JOSE ALVAREZ
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Credential | MASSAGE THERAPIST
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Telephone | 305-863-1654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MA62028
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License Number State | FL
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