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General NPI Number Information
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NPI Number | 1912381583
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Entity Type | Organization
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Legal Business Name | ARTANG REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 3100 NW 72ND AVE STE 113
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City | MIAMI
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State | FL
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Zip | 33122-1335
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Country | US
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Telephone | 305-280-5686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 228806
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City | MIAMI
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State | FL
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Zip | 33222-8806
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Country | US
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Telephone | 305-280-5686
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Fax | 786-454-2462
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN PUPO
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Credential |
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Telephone | 305-280-5686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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