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General NPI Number Information
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NPI Number | 1700028610
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Entity Type | Organization
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Legal Business Name | UNIVERSAL REHAB MED GROUP, INC.
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 2925 10TH AVE N STE 201C
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3046
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Country | US
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Telephone | 561-966-9957
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Fax | 561-966-9958
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Provider Business Mailing Address
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Address Line | 2925 10TH AVE N STE 201C
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3046
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Country | US
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Telephone | 561-966-9957
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Fax | 561-966-9958
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAZARO RODRIGUEZ
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Credential | D.C.
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Telephone | 561-966-9957
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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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