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General NPI Number Information
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NPI Number | 1487427910
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Entity Type | Organization
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Legal Business Name | DOVERM REHABILITATION
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 817 SE 2ND AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316
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Country | US
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Telephone | 954-874-5699
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 S FEDERAL HWY # 1074
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1257
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Country | US
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Telephone | 954-874-5699
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. JUSTIN BLAS MARTINEZ
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Credential | DPT
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Telephone | 954-874-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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