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General NPI Number Information
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NPI Number | 1740552009
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Entity Type | Organization
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Legal Business Name | PRN REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 1140 W 50TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-3440
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Country | US
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Telephone | 305-825-3477
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Fax | 305-825-3727
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Provider Business Mailing Address
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Address Line | 1140 W 50TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-3440
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Country | US
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Telephone | 305-825-3477
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Fax | 305-825-3727
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JORGE L PINO
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Credential | MA37315
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Telephone | 305-285-3477
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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