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General NPI Number Information
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NPI Number | 1649504671
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Entity Type | Organization
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Legal Business Name | SYNTRICITY REHAB SOLUTIONS OF KY, LLC.
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 1705 STEVENS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40205-1044
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Country | US
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Telephone | 502-451-7330
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Fax | 305-652-4070
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Provider Business Mailing Address
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Address Line | 1835 NE MIAMI GARDENS DRIVE #167
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-0470
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Country | US
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Telephone | 786-279-1134
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Fax | 305-652-4070
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Authorized Official
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Title or Position | C.F,O.
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Name | MS. MARIA ELVA GONZALEZ
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Credential |
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Telephone | 786-279-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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