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General NPI Number Information
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NPI Number | 1770708513
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL AND REHABILITATION CENTER
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14075 SW 143RD CT SUITE 1
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City | MIAMI
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State | FL
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Zip | 33186-5682
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Country | US
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Telephone | 786-242-2759
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Fax |
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Provider Business Mailing Address
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Address Line | 14075 SW 143RD CT SUITE 1
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City | MIAMI
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State | FL
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Zip | 33186-5682
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Country | US
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Telephone | 786-242-2759
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL LUIGI GUADAGNO
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Credential | DC
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Telephone | 786-246-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH9004
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License Number State | FL
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