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General NPI Number Information
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NPI Number | 1790300895
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Entity Type | Organization
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Legal Business Name | REHAB LAB MIAMI LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 8790 SW 132ND ST
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City | MIAMI
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State | FL
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Zip | 33176-5932
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Country | US
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Telephone | 305-338-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 8790 SW 132ND ST
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City | MIAMI
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State | FL
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Zip | 33176-5932
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Country | US
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Telephone | 786-478-6652
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUILLERMO DE NOVI
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Credential | DPT
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Telephone | 786-478-6652
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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 |
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License Number State |
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