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General NPI Number Information
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NPI Number | 1790055580
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Entity Type | Organization
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Legal Business Name | Y & O REHABILITATION CENTER CORP
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 13701 SW 88TH ST SUITE 202A
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City | MIAMI
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State | FL
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Zip | 33186-1309
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Country | US
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Telephone | 305-388-0663
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Fax | 305-386-2378
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Provider Business Mailing Address
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Address Line | 13701 SW 88TH ST SUITE 202A
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City | MIAMI
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State | FL
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Zip | 33186-1309
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Country | US
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Telephone | 305-388-0663
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Fax | 305-386-2378
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUIS S PILETA
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Credential | LMT
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Telephone | 305-388-0663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MA59555
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License Number State | FL
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