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General NPI Number Information
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NPI Number | 1821103003
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Entity Type | Organization
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Legal Business Name | E AND B REHABILITATION CENTER INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 7201 NW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33126-1908
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Country | US
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Telephone | 305-592-5566
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 NW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33126-1908
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Country | US
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Telephone | 305-592-5566
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Fax | 305-592-5040
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOEL BAUTA
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Credential |
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Telephone | 305-592-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 583594-8
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License Number State | FL
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