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General NPI Number Information
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NPI Number | 1437121738
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Entity Type | Organization
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Legal Business Name | BUTTERFLY REHABILITATION CORPORATION
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 11063 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-7718
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Country | US
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Telephone | 305-992-2044
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Fax | 239-775-1118
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Provider Business Mailing Address
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Address Line | 8075 SW 107TH AVE SUITE 306
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City | MIAMI
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State | FL
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Zip | 33173-4848
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Country | US
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Telephone | 305-992-2044
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Fax | 239-775-1118
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. ANDY HEMCHAND
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Credential |
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Telephone | 305-992-2044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 684876
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License Number State | FL
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