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General NPI Number Information
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NPI Number | 1588782957
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Entity Type | Organization
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Legal Business Name | NEUROLOGICAL REHABILITATION CENTER PROGRAM SERVICES
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7777 N UNIVERSITY DR STE 101S
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City | TAMARAC
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State | FL
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Zip | 33321-6106
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Country | US
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Telephone | 954-722-2110
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Fax | 954-722-2304
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Provider Business Mailing Address
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Address Line | 7777 N UNIVERSITY DR STE 101S
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City | TAMARAC
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State | FL
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Zip | 33321-6106
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Country | US
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Telephone | 954-722-2110
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Fax | 954-722-2304
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | MS. AYANA STEPHENSON
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Credential | MBA
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Telephone | 954-722-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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