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General NPI Number Information
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NPI Number | 1538677158
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Entity Type | Organization
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Legal Business Name | GENERAL FAMILY REHAB INC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 2880 W OAKLAND PARK BLVD STE 226
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1368
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Country | US
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Telephone | 954-990-4852
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Fax | 954-990-4532
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Provider Business Mailing Address
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Address Line | 2880 W OAKLAND PARK BLVD STE 226
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1368
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Country | US
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Telephone | 954-990-4852
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Fax | 954-990-4532
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUSTIN NEIDICH
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Credential | PT
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Telephone | 954-990-4852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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