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General NPI Number Information
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NPI Number | 1598029225
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Entity Type | Organization
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Legal Business Name | SPECIALIZED THERAPY AND REHABILITATION, LLC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 2326 S CONGRESS AVE SUITE 2-C
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7617
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Country | US
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Telephone | 561-966-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 610 MOONDANCER CT
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1503
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Country | US
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Telephone | 561-779-8412
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KEITH YU
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Credential |
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Telephone | 561-966-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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