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General NPI Number Information
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NPI Number | 1710073846
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Entity Type | Organization
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Legal Business Name | D AND Y MEDICAL & REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 E 9TH ST SUITE 105
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City | HIALEAH
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State | FL
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Zip | 33010-4221
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Country | US
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Telephone | 305-884-2030
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Fax | 305-884-2992
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Provider Business Mailing Address
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Address Line | 330 E 9TH ST SUITE 105
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City | HIALEAH
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State | FL
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Zip | 33010-4221
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Country | US
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Telephone | 305-884-2030
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Fax | 305-884-2992
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELDA MEDINA
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Credential |
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Telephone | 786-316-3518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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