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General NPI Number Information
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NPI Number | 1063177483
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY NOW HIALEAH LLC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 3595 W 20TH AVE STE 115
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City | HIALEAH
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State | FL
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Zip | 33012-4533
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Country | US
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Telephone | 305-570-1666
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Fax | 305-203-0546
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Provider Business Mailing Address
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Address Line | 12277 SW 130TH ST
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City | MIAMI
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State | FL
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Zip | 33186-6218
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Country | US
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Telephone | 305-470-3399
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Fax | 305-203-0546
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Authorized Official
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Title or Position | CREDENTIALING DIRECTOR
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Name | MS. DONNA LEA FONDA
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Credential |
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Telephone | 305-470-9399
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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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