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General NPI Number Information
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NPI Number | 1649432907
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Entity Type | Organization
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Legal Business Name | BOCA HEALTH CARE CENTER
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 9825 MARINA BLVD SUITE 300
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-883-0090
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Fax | 561-883-0676
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Provider Business Mailing Address
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Address Line | 9825 MARINA BLVD STE 300
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City | BOCA RATON
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State | FL
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Zip | 33428
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Country | US
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Telephone | 561-883-0090
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Fax | 561-883-0676
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD JOEL ROSEN
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Credential | DC
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Telephone | 561-883-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT008827
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License Number State | FL
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