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General NPI Number Information
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NPI Number | 1629346424
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Entity Type | Organization
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Legal Business Name | NOVA CARE REHAB SERVICES INC
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 5881 NW 151ST ST 120
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2450
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Country | US
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Telephone | 786-518-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 5881 NW 151ST ST 120
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2450
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Country | US
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Telephone | 786-518-2472
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIA PEREZ I
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Credential |
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Telephone | 786-518-2472
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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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