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General NPI Number Information
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NPI Number | 1679796577
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Entity Type | Organization
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Legal Business Name | MEGA THERAPY CENTER, INC,
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 100 NW 82ND AVE SUITE 204-205
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City | PLANTATION
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State | FL
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Zip | 33324-7809
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Country | US
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Telephone | 305-326-7777
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Fax | 305-326-7797
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Provider Business Mailing Address
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Address Line | 100 NW 82ND AVE SUITE 204-205
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City | PLANTATION
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State | FL
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Zip | 33324-7809
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Country | US
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Telephone | 305-326-7777
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Fax | 305-326-7797
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERNESTO MONTANER
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Credential |
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Telephone | 305-326-7777
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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 | 684872
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License Number State | FL
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