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General NPI Number Information
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NPI Number | 1639065345
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Entity Type | Organization
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Legal Business Name | ROYAL PALM BEACH REHAB CORP
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 10358 RIVERSIDE DR STE 140
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4203
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Country | US
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Telephone | 561-821-7872
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Fax | 561-821-7498
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Provider Business Mailing Address
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Address Line | 4971 LE CHALET BLVD STE 100
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-1418
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Country | US
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Telephone | 561-537-4526
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | JORGE GARCIA
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Credential |
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Telephone | 561-537-4526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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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