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General NPI Number Information
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NPI Number | 1477872364
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Entity Type | Organization
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Legal Business Name | BISCAYNE HARBOUR REHAB CENTER, INC.
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 18189 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 305-933-4333
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Fax | 305-933-2241
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Provider Business Mailing Address
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Address Line | 18189 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33160-2535
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Country | US
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Telephone | 305-933-4333
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Fax | 305-933-2241
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC ROY MILLER
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Credential | DC
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Telephone | 305-933-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5357
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License Number State | FL
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