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General NPI Number Information
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NPI Number | 1588275911
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Entity Type | Organization
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Legal Business Name | JIMENEZ WELLNESS AND REHAB CENTER LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 1042 NW 87TH AVE APT 102
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City | MIAMI
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State | FL
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Zip | 33172-3029
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Country | US
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Telephone | 786-572-9606
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Fax |
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Provider Business Mailing Address
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Address Line | 1042 NW 87TH AVE APT 102
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City | MIAMI
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State | FL
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Zip | 33172-3029
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Country | US
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Telephone | 786-572-9606
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SILVANA PEREZ
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Credential |
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Telephone | 786-572-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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