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General NPI Number Information
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NPI Number | 1477967776
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Entity Type | Organization
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Legal Business Name | HYPOLUXO REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 904 S DIXIE HWY
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City | LANTANA
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State | FL
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Zip | 33462-4653
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Country | US
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Telephone | 561-689-4301
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Fax |
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Provider Business Mailing Address
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Address Line | 904 S DIXIE HWY
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City | LANTANA
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State | FL
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Zip | 33462-4653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JAYSON KENNETH MORTON
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Credential | D.C.
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Telephone | 561-689-4301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH10886
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License Number State | FL
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