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General NPI Number Information
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NPI Number | 1063849099
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Entity Type | Organization
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Legal Business Name | HEALINGHANDSCONNECTION.INC
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE SUITE 301
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-643-9157
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Fax | 305-642-7557
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Provider Business Mailing Address
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Address Line | 330 SW 27TH AVE SUITE 301
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City | MIAMI
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State | FL
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Zip | 33135-2961
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Country | US
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Telephone | 305-643-9157
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Fax | 305-642-7557
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. PEDRO ENRIQUE DIAZ
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Credential | LMT
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Telephone | 786-419-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 64482
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA 46170
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 64482
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License Number State | FL
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