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General NPI Number Information
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NPI Number | 1558666156
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Entity Type | Organization
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Legal Business Name | MAGIC REHAB & MEDICAL CENTER INC.
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST 503
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 305-528-8512
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Fax | 305-825-6577
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Provider Business Mailing Address
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Address Line | 1840 W 49TH ST 503
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City | HIALEAH
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State | FL
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Zip | 33012-2942
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Country | US
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Telephone | 305-528-8512
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Fax | 305-825-6577
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBERTO OLIVA PEREZ
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Credential | MT
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Telephone | 305-528-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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