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General NPI Number Information
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NPI Number | 1871834994
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Entity Type | Organization
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Legal Business Name | OSTEOPATHIC REHABILITATION CENTER
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 8370 W FLAGLER ST STE 226
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City | MIAMI
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State | FL
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Zip | 33144-2040
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Country | US
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Telephone | 305-810-4000
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Fax | 786-235-6165
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Provider Business Mailing Address
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Address Line | 8370 W FLAGLER ST STE 226
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City | MIAMI
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State | FL
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Zip | 33144-2040
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Country | US
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Telephone | 305-810-4000
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Fax | 786-235-6165
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Authorized Official
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Title or Position | OWNER
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Name | GIANNYS MATO
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Credential |
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Telephone | 305-810-4000
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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 | HCC10560
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License Number State | FL
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