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General NPI Number Information
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NPI Number | 1043264229
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Entity Type | Organization
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Legal Business Name | BAIRES ENTERPRISES LTD CO
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 137 SW 57TH AVE
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City | MIAMI
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State | FL
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Zip | 33144-3411
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Country | US
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Telephone | 305-262-5967
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Fax |
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Provider Business Mailing Address
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Address Line | 17962 SW 29TH LN
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City | MIRAMAR
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State | FL
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Zip | 33029-5500
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Country | US
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Telephone | 786-326-6322
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ANDRES A LUPIANO
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Credential | P.T.
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Telephone | 305-262-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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