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General NPI Number Information
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NPI Number | 1437717212
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Entity Type | Organization
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Legal Business Name | OPTIMIZE REHABILITATION
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 1613 SE 7TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5813
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Country | US
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Telephone | 484-894-3207
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 SE 7TH ST
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-5813
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Country | US
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Telephone | 484-894-3207
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUSTIN BLOCKI
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Credential | OTR/L
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Telephone | 484-894-3207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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