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General NPI Number Information
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NPI Number | 1003250820
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Entity Type | Organization
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Legal Business Name | EMMI PHYSICAL THERAPY GROUP LLC
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 10621 SW 88TH ST SUITE 104
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City | MIAMI
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State | FL
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Zip | 33176-8708
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Country | US
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Telephone | 305-270-0106
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Fax | 305-270-0206
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Provider Business Mailing Address
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Address Line | 10621 SW 88TH ST SUITE 104
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City | MIAMI
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State | FL
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Zip | 33176-8708
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Country | US
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Telephone | 305-270-0106
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Fax | 305-270-0206
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Authorized Official
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Title or Position | OWNER
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Name | JESUS E ALFONSO
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Credential |
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Telephone | 786-287-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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