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General NPI Number Information
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NPI Number | 1104938307
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Entity Type | Individual
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Provider Name | ROSA M LEE PT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 9085 SW 87TH AVE STE 200
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City | MIAMI
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State | FL
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Zip | 33176-2309
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Country | US
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Telephone | 305-412-3336
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Fax | 855-882-7612
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY STE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1175
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Country | US
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Telephone | 786-924-1311
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA30720
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License Number State | FL
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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 | PT17999
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License Number State | FL
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