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General NPI Number Information
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NPI Number | 1699723114
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Entity Type | Organization
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Legal Business Name | ACE MEDICIAL & REHAB CENTER INC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 3990 W FLAGER ST SUITE 101/102
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-392-1143
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Fax | 786-332-2602
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Provider Business Mailing Address
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Address Line | 3990 W FLAGER ST SUITE 101-102
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 786-239-0218
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Fax | 786-332-2602
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Authorized Official
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Title or Position | CEO
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Name | MRS. YANIRMA TOLEDO
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Credential |
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Telephone | 786-239-0218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC4544
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License Number State | FL
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