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General NPI Number Information
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NPI Number | 1861841827
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Entity Type | Organization
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Legal Business Name | AHEB REHABILITATION CLINIC, INC.
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 5975 WEST SUNRISE BLVD. SUITE 105
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City | SUNRISE
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State | FL
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Zip | 33313-1046
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Country | US
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Telephone | 407-617-4049
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Fax | 954-252-4606
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Provider Business Mailing Address
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Address Line | 5975 WEST SUNRISE BLVD., SUITE 105
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City | SUNRISE
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State | FL
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Zip | 33313-6177
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Country | US
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Telephone | 954-533-8678
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VIVIAN MARTORELL
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Credential | LMHC
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Telephone | 407-617-4049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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