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General NPI Number Information
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NPI Number | 1942625405
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Entity Type | Organization
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Legal Business Name | MITZVAH CENTER FOR HEALTH, INC
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE STE 225
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City | DORAL
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State | FL
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Zip | 33166-6546
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Country | US
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Telephone | 786-420-5339
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Fax | 786-420-5327
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Provider Business Mailing Address
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Address Line | 3900 NW 79TH AVE STE 225
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City | DORAL
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State | FL
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Zip | 33166-6546
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Country | US
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Telephone | 786-420-5339
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Fax | 786-420-5327
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROBERT E BROWN
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Credential | DC
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Telephone | 786-346-6643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | CH5445
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License Number State | FL
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