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General NPI Number Information
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NPI Number | 1952888612
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Entity Type | Organization
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Legal Business Name | LEON REHABILITATION AND NURSING SERVICES, INC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 6701 GARFIELD ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-5741
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Country | US
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Telephone | 305-801-0476
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 GARFIELD ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-5741
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Country | US
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Telephone | 305-801-0476
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MARITZA MEMBRENO
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Credential | OT
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Telephone | 395-801-0476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapist
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License Number | OT14440
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License Number State | FL
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