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General NPI Number Information
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NPI Number | 1841584265
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Entity Type | Organization
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Legal Business Name | D & R RAHABILITATION SERVICE CORP
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 8567 CORAL WAY # 156
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City | MIAMI
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State | FL
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Zip | 33155-2335
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Country | US
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Telephone | 786-304-4806
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Fax |
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Provider Business Mailing Address
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Address Line | 8567 CORAL WAY # 156
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City | MIAMI
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State | FL
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Zip | 33155-2335
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Country | US
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Telephone | 786-304-4806
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DANAY RODRUIGUEZ
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Credential | MA
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Telephone | 786-304-4806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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