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NPI 1619295912

NPI 1619295912 : PREFERRED HEALTH & WELLNESS INC : NORTH MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1619295912
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    Entity Type          |    Organization 
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    Legal Business Name  |    PREFERRED HEALTH & WELLNESS INC 
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Dates
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    Enumeration Date     |    05/11/2010
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    Last Update Date     |    05/11/2010
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Provider Practice Location Address
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    Address Line         |    13472 BISCAYNE BLVD 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-2019
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    Country              |    US
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    Telephone            |    305-949-0222
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    Fax                  |    305-949-0224
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Provider Business Mailing Address
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    Address Line         |    13472 BISCAYNE BLVD 
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    City                 |    NORTH MIAMI
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    State                |    FL
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    Zip                  |    33181-2019
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    Country              |    US
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    Telephone            |    305-949-0222
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    Fax                  |    305-949-0224
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. RAYMOND  RUSZKOWSKI 
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    Credential           |    D.C.
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    Telephone            |    305-949-0222
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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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