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General NPI Number Information
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NPI Number | 1932387917
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Entity Type | Organization
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Legal Business Name | PACIFIC REHABILITATION CENTER
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 8300 W FLAGLER ST STE 124
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 305-480-2737
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Fax | 305-225-9737
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Provider Business Mailing Address
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Address Line | 8300 W FLAGLER ST STE 124
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City | MIAMI
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State | FL
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Zip | 33144-2096
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Country | US
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Telephone | 305-480-2737
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Fax | 305-225-9737
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. YENIA TORRES
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Credential |
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Telephone | 305-480-2737
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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 | HCC6878
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License Number State | FL
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