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General NPI Number Information
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NPI Number | 1902058118
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Entity Type | Organization
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Legal Business Name | LA SALUD MEDICAL & REHAB CENTER, INC.
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 2650 S MILITARY TRL STE 12
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-7506
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Country | US
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Telephone | 561-429-8202
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Fax | 561-429-8203
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Provider Business Mailing Address
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Address Line | 8927 HYPOLUXO RD STE A4
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City | LAKE WORTH
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State | FL
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Zip | 33467-5249
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Country | US
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Telephone | 561-429-8202
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Fax | 561-429-8203
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEBREU DESSALINES
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Credential |
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Telephone | 786-319-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | FL
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