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General NPI Number Information
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NPI Number | 1548715212
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY NOW WEST KENDALL LLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 13717 SW 152ND ST
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City | MIAMI
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State | FL
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Zip | 33177-1106
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Country | US
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Telephone | 305-252-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 14346 SW 159TH ST
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City | MIAMI
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State | FL
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Zip | 33177-6871
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Country | US
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Telephone | 786-371-9873
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HORACIO JORGE RODRIGUEZ-JIMENEZ
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Credential | M.D
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Telephone | 850-532-2830
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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 | FL
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