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General NPI Number Information
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NPI Number | 1710290333
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Entity Type | Organization
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Legal Business Name | CONTINENTAL REHABILITATION CENTER INC
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 07/24/2010
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Provider Practice Location Address
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Address Line | 1150 NW 72ND AVE STE 580
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City | MIAMI
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State | FL
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Zip | 33126-1921
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Country | US
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Telephone | 786-235-3642
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Fax | 786-235-3643
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Provider Business Mailing Address
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Address Line | 1150 NW 72ND AVE STE 580
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City | MIAMI
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State | FL
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Zip | 33126-1921
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Country | US
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Telephone | 786-235-3642
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Fax | 786-235-3643
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL HERNANDEZ
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Credential |
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Telephone | 786-235-3642
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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 | MA47204
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License Number State | FL
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