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General NPI Number Information
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NPI Number | 1689603821
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Entity Type | Organization
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Legal Business Name | A1 USA REHAB CENTER CORP
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 6919 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-2835
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Country | US
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Telephone | 305-889-6667
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-2835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AGUSTIN SUAREZ V
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Credential |
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Telephone | 305-889-6667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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