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General NPI Number Information
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NPI Number | 1821361452
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Entity Type | Organization
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Legal Business Name | MS MEDICAL REHAB CORPORATION
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 4343 W FLAGLER ST STE 501
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 786-360-2709
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Fax | 786-362-5937
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Provider Business Mailing Address
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Address Line | 4343 W FLAGLER ST STE 501
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City | CORAL GABLES
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State | FL
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Zip | 33134-1586
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Country | US
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Telephone | 786-360-2709
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Fax | 786-362-5937
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARIA A SOMARRIBA
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Credential | LMT
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Telephone | 786-360-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MA51983
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License Number State | FL
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