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General NPI Number Information
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NPI Number | 1740755800
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Entity Type | Organization
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Legal Business Name | COMPLEX REHAB SOLUTIONS LLC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 10601 NW 122ND ST STE 18
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City | MEDLEY
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State | FL
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Zip | 33178-3186
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Country | US
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Telephone | 305-967-8098
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Fax | 305-437-8027
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Provider Business Mailing Address
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Address Line | 10601 NW 122ND ST STE 18
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City | MEDLEY
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State | FL
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Zip | 33178-3186
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Country | US
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Telephone | 305-967-8098
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Fax | 305-437-8027
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Authorized Official
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Title or Position | MANAGER
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Name | NOEL BURNS
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Credential |
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Telephone | 305-321-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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