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General NPI Number Information
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NPI Number | 1750620985
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Entity Type | Organization
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Legal Business Name | WORLD OF REHABILITATION THERAPY
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 4800 W FLAGLER ST STE 215
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City | CORAL GABLES
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State | FL
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Zip | 33134-1402
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Country | US
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Telephone | 305-603-8152
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Fax | 305-603-8156
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Provider Business Mailing Address
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Address Line | 4800 W FLAGLER ST STE 215
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City | CORAL GABLES
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State | FL
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Zip | 33134-1402
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Country | US
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Telephone | 305-603-8152
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Fax | 305-603-8156
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY JACOMINO I
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Credential | MA46172
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Telephone | 305-603-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | HCC7487
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License Number State | FL
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