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General NPI Number Information
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NPI Number | 1932360740
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Entity Type | Organization
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Legal Business Name | SEQUOIA REHABILITATION CENTER INC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 900 NE 125TH ST STE 210
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5745
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Country | US
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Telephone | 305-895-1444
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Fax | 305-895-1454
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Provider Business Mailing Address
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Address Line | 900 NE 125TH ST STE 210
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5745
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Country | US
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Telephone | 305-895-1444
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Fax | 305-895-1454
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Authorized Official
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Title or Position | PREDIDENT
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Name | RIGOBERTO GORT
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Credential |
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Telephone | 305-895-1444
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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 | 683218
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License Number State | FL
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