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General NPI Number Information
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NPI Number | 1598954828
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Entity Type | Organization
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Legal Business Name | MG REHABILITATION CENTER INC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 13727 SW 152ND ST 327
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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 | 786-718-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 8320 NW 103RD ST APT 202
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City | HIALEAH
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State | FL
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Zip | 33016-4657
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Country | US
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Telephone | 786-718-7532
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL ESPINOSA
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Credential | D.O.
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Telephone | 786-718-7532
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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 | HCC6969
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License Number State | FL
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