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General NPI Number Information
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NPI Number | 1669402640
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Entity Type | Organization
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Legal Business Name | REHAB MANAGEMENT ORGANIZATION
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15455 W DIXIE HWY BAY B
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-6067
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Country | US
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Telephone | 305-354-8400
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Fax | 305-354-8448
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Provider Business Mailing Address
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Address Line | 15455 W DIXIE HWY BAY B
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-6067
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Country | US
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Telephone | 305-354-8400
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Fax | 305-354-8448
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS SHANICE LATASHA ARMSTRONG
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Credential |
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Telephone | 305-354-8400
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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 | PT20507
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License Number State | FL
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