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General NPI Number Information
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NPI Number | 1659657021
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Entity Type | Organization
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Legal Business Name | D & J THERAPY AND REHAB. CENTER, INC.
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 8150 SW 8TH ST SUITE 218
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City | MIAMI
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State | FL
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Zip | 33144-4263
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Country | US
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Telephone | 305-200-3316
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Fax | 305-200-3606
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Provider Business Mailing Address
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Address Line | 8150 SW 8TH ST SUITE 218
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City | MIAMI
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State | FL
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Zip | 33144-4263
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Country | US
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Telephone | 305-200-3316
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Fax | 305-200-3606
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Authorized Official
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Title or Position | OWNER
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Name | MR. OSCAR GONZALEZ
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Credential |
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Telephone | 305-200-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MA61660
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License Number State | FL
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