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General NPI Number Information
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NPI Number | 1447389861
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORTHOPEDIC & SPINE REHABILITATION, INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 7200 W CAMINO REAL SUITE 100
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City | BOCA RATON
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State | FL
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Zip | 33433-5511
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Country | US
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Telephone | 561-362-9748
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Fax | 561-362-8059
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Provider Business Mailing Address
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Address Line | 7200 W CAMINO REAL SUITE 100
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City | BOCA RATON
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State | FL
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Zip | 33433-5511
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Country | US
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Telephone | 561-362-9748
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Fax | 561-362-8059
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD E STERN
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Credential | PT
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Telephone | 561-362-9748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 4363
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License Number State | FL
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