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General NPI Number Information
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NPI Number | 1487780466
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Entity Type | Organization
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Legal Business Name | ALL-STAR KIDS REHAB, INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7750 W 26TH AVE UNIT 2
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City | HIALEAH
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State | FL
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Zip | 33016-5698
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Country | US
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Telephone | 305-231-1276
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 W 26TH AVE UNIT 2
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City | HIALEAH
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State | FL
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Zip | 33016-5698
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Country | US
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Telephone | 305-231-1276
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOSE SOLIS
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Credential | OTR
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Telephone | 305-231-1276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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