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General NPI Number Information
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NPI Number | 1740612720
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Entity Type | Organization
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Legal Business Name | SUNSET WELLNESS & REHAB CENTER, LLC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 9425 SUNSET DR STE 130
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City | MIAMI
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State | FL
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Zip | 33173-3295
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Country | US
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Telephone | 305-261-4441
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Fax | 305-396-8734
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Provider Business Mailing Address
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Address Line | 7000 SW 97TH AVE SUITE 120
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City | MIAMI
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State | FL
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Zip | 33173-1494
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Country | US
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Telephone | 305-261-4441
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Fax | 305-396-8734
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROBERT DIAZ
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Credential |
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Telephone | 305-261-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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