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General NPI Number Information
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NPI Number | 1669794343
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Entity Type | Organization
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Legal Business Name | G & G MEDICAL CENTER AND REHABILITATION CORP
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 2140 W FLAGLER ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33135-1642
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Country | US
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Telephone | 305-982-8577
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Fax | 305-982-8579
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Provider Business Mailing Address
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Address Line | 2140 W FLAGLER ST SUITE 210
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City | MIAMI
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State | FL
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Zip | 33135-5600
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Country | US
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Telephone | 305-982-8577
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Fax | 305-982-8579
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEVY GUTIERREZ
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Credential |
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Telephone | 305-982-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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