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General NPI Number Information
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NPI Number | 1962710988
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Entity Type | Organization
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Legal Business Name | M & Y REHAB CENTER
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 8660 W FLAGLER ST SUITE # 133
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City | MIAMI
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State | FL
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Zip | 33144-2031
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Country | US
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Telephone | 305-381-0556
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Fax | 305-381-0558
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Provider Business Mailing Address
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Address Line | 8660 W FLAGLER ST SUITE # 133
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City | MIAMI
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State | FL
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Zip | 33144-2031
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Country | US
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Telephone | 305-381-0556
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Fax | 305-381-0558
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. DELVIS RIVERO
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Credential |
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Telephone | 305-381-0556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MM25383
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License Number State | FL
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