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General NPI Number Information
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NPI Number | 1073303665
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Entity Type | Organization
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Legal Business Name | MQV PROFESSIONAL SERVICES INC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 15715 S DIXIE HWY STE 417
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City | MIAMI
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State | FL
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Zip | 33157-1884
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Country | US
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Telephone | 786-338-3410
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Fax | 786-228-2200
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Provider Business Mailing Address
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Address Line | 15715 S DIXIE HWY STE 417
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City | MIAMI
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State | FL
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Zip | 33157-1884
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Country | US
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Telephone | 786-338-3410
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Fax | 786-228-2200
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Authorized Official
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Title or Position | CEO
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Name | YORDAN SENAN BENITEZ
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Credential |
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Telephone | 954-225-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224ZR0403X
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Taxonomy Name | Driving and Community Mobility Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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