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General NPI Number Information
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NPI Number | 1902163231
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Entity Type | Organization
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Legal Business Name | TRIAL REHAB GROUP CORPORATION
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 1830 NW 7TH ST STE 229
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City | MIAMI
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State | FL
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Zip | 33125-3562
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Country | US
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Telephone | 786-313-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 NW 7 STREET SUITE 229
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City | MIAMI
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State | FL
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Zip | 33125
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Country | US
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Telephone | 786-313-3508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALBERTO SUAREZ SR.
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Credential |
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Telephone | 305-313-3508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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