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General NPI Number Information
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NPI Number | 1871555631
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY REHABILITATION INC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 3121 W HALLANDALE BEACH BLVD 109
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City | PEMBROKE PINES
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State | FL
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Zip | 33009-5149
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Country | US
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Telephone | 786-331-9760
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Fax | 786-331-9761
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Provider Business Mailing Address
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Address Line | 3121 W HALLANDALE BEACH BLVD 109
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City | PEMBROKE PINES
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State | FL
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Zip | 33009-5149
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Country | US
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Telephone | 786-331-9760
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Fax | 786-331-9761
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CARIDAD SUAREZ
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Credential |
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Telephone | 786-331-9760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | FL
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