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General NPI Number Information
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NPI Number | 1639498330
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Entity Type | Organization
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Legal Business Name | BERNEX FLEURINOR
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 3101 PORT ROYALE BLVD APT 1435
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7810
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Country | US
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Telephone | 954-934-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E SAMPLE RD
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5160
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | MR. BERNEX FLEURINOR
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Credential |
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Telephone | 954-934-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | PTA21322
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License Number State | FL
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