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General NPI Number Information
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NPI Number | 1457656977
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Entity Type | Organization
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Legal Business Name | DR REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 7204 SW 48TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5552
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Country | US
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Telephone | 305-661-2223
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Fax | 305-661-2994
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Provider Business Mailing Address
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Address Line | 7204 SW 48TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5552
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Country | US
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Telephone | 305-661-2223
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Fax | 305-661-2994
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL P SENESPLEDA
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Credential | MASSAGE THERAPIST
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Telephone | 786-338-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | MA 47501
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License Number State | FL
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