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General NPI Number Information
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NPI Number | 1679828677
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALT MEDICAL & REHAB CENTER CORP
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 4075 PINE RIDGE RD STE 4
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City | NAPLES
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State | FL
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Zip | 34119-4004
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Country | US
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Telephone | 239-431-7918
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Fax | 239-431-7915
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Provider Business Mailing Address
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Address Line | 4075 PINE RIDGE RD STE 4
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City | NAPLES
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State | FL
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Zip | 34119-4004
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Country | US
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Telephone | 239-431-7918
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Fax | 239-431-7915
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CLAUDIA LOPEZ
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Credential |
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Telephone | 239-431-7918
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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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