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General NPI Number Information
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NPI Number | 1013556216
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Entity Type | Organization
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Legal Business Name | QUALITY THERAPY LLC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 25813 SW 128TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33032-5794
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Country | US
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Telephone | 305-299-6374
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Fax |
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Provider Business Mailing Address
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Address Line | 12792 SW 228TH ST
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City | MIAMI
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State | FL
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Zip | 33170-2753
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Country | US
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Telephone | 305-299-6374
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Fax | 784-845-6570
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Authorized Official
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Title or Position | MANAGER
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Name | IDALMIS TURRUELLES
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Credential | MS CCC SLP
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Telephone | 305-299-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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