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General NPI Number Information
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NPI Number | 1851636187
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Entity Type | Organization
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Legal Business Name | LAM REHAB CENTER INC
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 1414 NW 107TH AVE 204
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City | DORAL
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State | FL
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Zip | 33172
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Country | US
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Telephone | 305-468-9701
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 NW 107TH AVE 204
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City | DORAL
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State | FL
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Zip | 33172
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO LEAL
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Credential |
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Telephone | 305-468-9701
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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 | HCC9621
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License Number State | FL
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