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General NPI Number Information
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NPI Number | 1649564139
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Entity Type | Organization
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Legal Business Name | W&W REHAB CENTER, CORP
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 4790 NW 7TH ST SUITE 208
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City | MIAMI
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State | FL
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Zip | 33126-2200
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Country | US
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Telephone | 305-444-4443
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Fax | 305-444-4446
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Provider Business Mailing Address
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Address Line | 4790 NW 7TH ST SUITE 208
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City | MIAMI
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State | FL
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Zip | 33126-2200
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Country | US
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Telephone | 305-444-4443
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Fax | 305-444-4446
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYDEL BIBILONI
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Credential | LMT
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Telephone | 305-444-4443
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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 | MM26124
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License Number State | FL
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