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General NPI Number Information
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NPI Number | 1922236058
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Entity Type | Organization
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Legal Business Name | REY MEDICAL AND PAIN CENTERS, LLC
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 8967 TAFT ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4648
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Country | US
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Telephone | 786-251-7928
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Fax | 954-473-0211
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Provider Business Mailing Address
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Address Line | 7101 SW 78TH CT
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City | MIAMI
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State | FL
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Zip | 33143-2707
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Country | US
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Telephone | 786-251-7928
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Fax | 954-473-0211
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAFAEL REY
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Credential | MD
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Telephone | 786-251-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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