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General NPI Number Information
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NPI Number | 1891099370
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Entity Type | Organization
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Legal Business Name | RJB CARDIAC & PHYSICAL REHABILITATION INC.
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Dates
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Enumeration Date | 12/27/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 344 E ROYAL PALM ST SUITE 1
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City | LAKE PLACID
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State | FL
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Zip | 33852-5020
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Country | US
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Telephone | 863-465-9991
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Fax | 863-465-9906
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Provider Business Mailing Address
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Address Line | 344 E ROYAL PALM ST SUITE 1
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City | LAKE PLACID
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State | FL
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Zip | 33852-5020
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Country | US
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Telephone | 863-465-9991
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Fax | 863-465-9906
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT JOSEPH BIERNOT
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Credential | PT
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Telephone | 863-314-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | FL
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