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General NPI Number Information
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NPI Number | 1083848758
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Entity Type | Organization
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Legal Business Name | D' CLASS WELLNESS THERAPY CENTER INC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 923 SW 119TH CT
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City | MIAMI
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State | FL
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Zip | 33184-2438
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Country | US
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Telephone | 305-898-3601
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Fax | 305-227-8906
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Provider Business Mailing Address
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Address Line | 923 SW 119TH CT
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City | MIAMI
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State | FL
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Zip | 33184-2438
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Country | US
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Telephone | 305-898-3601
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Fax | 305-227-8906
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Authorized Official
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Title or Position | OWNER
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Name | ELVA A AGUILAR
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Credential |
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Telephone | 305-898-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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