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General NPI Number Information
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NPI Number | 1033438726
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Entity Type | Organization
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Legal Business Name | ABC CHILDREN'S THERAPY, LLC
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 1000 BRICKELL AVE STE 225
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City | MIAMI
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State | FL
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Zip | 33131-3046
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Country | US
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Telephone | 786-709-8339
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BRICKELL AVE STE 225
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City | MIAMI
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State | FL
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Zip | 33131-3046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MISS ANABELA VERA
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Credential | MSPT
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Telephone | 786-709-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT24392
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT12764
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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