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General NPI Number Information
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NPI Number | 1861677767
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Entity Type | Organization
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Legal Business Name | CITY CORF INC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 4032 N POWERLINE RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5053
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Country | US
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Telephone | 954-564-1140
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Fax | 954-564-1188
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Provider Business Mailing Address
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Address Line | 4032 N POWERLINE RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5053
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Country | US
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Telephone | 954-564-1140
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Fax | 954-564-1188
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Authorized Official
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Title or Position | ASST ADMINISTRATOR
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Name | MR. JOHN EDWARD RULKA
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Credential |
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Telephone | 954-651-1319
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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 | FL
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