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General NPI Number Information
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NPI Number | 1730598020
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Entity Type | Organization
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Legal Business Name | PRADO REHABILITATION INC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 6501 NW 36TH ST SUITE 319
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6959
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Country | US
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Telephone | 786-534-5985
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Fax | 786-254-7135
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Provider Business Mailing Address
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Address Line | 6501 NW 36TH ST SUITE 319
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6959
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Country | US
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Telephone | 786-534-5985
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO RODRIGUEZ
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Credential |
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Telephone | 786-534-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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