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NPI 1689890576

NPI 1689890576 : A D BLESSING REHAB INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1689890576
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    Entity Type          |    Organization 
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    Legal Business Name  |    A D BLESSING REHAB INC 
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Dates
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    Enumeration Date     |    04/18/2007
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    Last Update Date     |    07/01/2015
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Provider Practice Location Address
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    Address Line         |    8353 SW 124TH ST SUITE 105
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33156-5851
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    Country              |    US
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    Telephone            |    305-969-2444
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    Fax                  |    305-378-4410
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Provider Business Mailing Address
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    Address Line         |    8353 SW 124TH ST SUITE 105
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33156-5851
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    Country              |    US
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    Telephone            |    305-969-2444
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    Fax                  |    305-378-4410
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     DAISY  JAY 
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    Credential           |    
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    Telephone            |    305-969-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    HCC6195
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    License Number State |    FL
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