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General NPI Number Information
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NPI Number | 1780744003
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Entity Type | Organization
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Legal Business Name | BALKAN REHABILITATION SERVICES
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 11648 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33157-6550
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Country | US
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Telephone | 305-971-6883
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Fax | 305-971-8122
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Provider Business Mailing Address
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Address Line | 11648 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33157-6550
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Country | US
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Telephone | 305-971-6883
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Fax | 305-971-8122
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN BALKANSKI
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Credential |
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Telephone | 305-971-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9386
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License Number State | FL
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