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General NPI Number Information
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NPI Number | 1447676820
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Entity Type | Organization
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Legal Business Name | GALLOWAY THERAPY SERVICES, INC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 9280 HAMMOCKS BLVD 106
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City | MIAMI
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State | FL
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Zip | 33196-1507
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Country | US
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Telephone | 305-383-3348
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Fax | 305-756-9527
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Provider Business Mailing Address
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Address Line | 946 NE 96TH ST
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2524
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Country | US
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Telephone | 305-934-6454
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Fax | 305-756-9527
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Authorized Official
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Title or Position | ADMIN/OWNER
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Name | ERNESTO PEREZ
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Credential |
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Telephone | 305-934-6454
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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 | 10-3247
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License Number State | FL
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