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General NPI Number Information
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NPI Number | 1861814949
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Entity Type | Organization
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Legal Business Name | ACTION REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 3750 W 16TH AVE STE 244U
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City | HIALEAH
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State | FL
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Zip | 33012-4664
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Country | US
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Telephone | 786-271-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 W 16TH AVE STE 244U
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City | HIALEAH
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State | FL
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Zip | 33012-4664
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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 | PRESIDENT
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Name | NELSON RAMOS
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Credential |
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Telephone | 786-271-6614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC4230
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License Number State | FL
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