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General NPI Number Information
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NPI Number | 1497179766
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Entity Type | Organization
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Legal Business Name | BRIA REHABILITATION CENTER CORP
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 1140 W 50TH ST STE 400B
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City | HIALEAH
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State | FL
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Zip | 33012-3400
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Country | US
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Telephone | 786-384-0868
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Fax | 786-373-3003
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Provider Business Mailing Address
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Address Line | 1140 W 50TH ST STE 400B
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City | HIALEAH
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State | FL
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Zip | 33012-3400
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Country | US
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Telephone | 786-384-0868
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Fax | 786-373-3003
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Authorized Official
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Title or Position | PRESIDENT
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Name | REINALDO CINTA
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Credential |
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Telephone | 786-384-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC8463
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License Number State | FL
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