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General NPI Number Information
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NPI Number | 1427355627
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Entity Type | Organization
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Legal Business Name | RECOVERY HEALTH CENTER INC
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2D1 2D1
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City | MIAMI
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State | FL
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Zip | 33172-7013
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Country | US
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Telephone | 305-227-8088
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Fax | 305-227-8089
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2D1 2D1
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City | MIAMI
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State | FL
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Zip | 33172-7013
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Country | US
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Telephone | 305-227-8088
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Fax | 305-227-8089
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Authorized Official
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Title or Position | MANAGER
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Name | JAVIER MARTIN
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Credential |
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Telephone | 305-227-8088
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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 | MM 19789
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License Number State | FL
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