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General NPI Number Information
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NPI Number | 1932120045
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Entity Type | Organization
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Legal Business Name | P & M REHABILITATION SERVICES CORP
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 1255 W 46TH ST SUITE 25
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City | HIALEAH
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State | FL
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Zip | 33012-3283
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Country | US
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Telephone | 786-313-0111
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Fax | 786-313-0075
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Provider Business Mailing Address
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Address Line | 1255 W 46TH ST SUITE 25
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City | HIALEAH
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State | FL
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Zip | 33012-3283
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Country | US
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Telephone | 786-313-0111
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Fax | 786-313-0075
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISAAC MARTINEZ CALVO
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Credential |
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Telephone | 786-313-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 523598-1
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License Number State | FL
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