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General NPI Number Information
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NPI Number | 1114261740
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Entity Type | Organization
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Legal Business Name | JAGUAR THERAPEUTICS, LLC
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 3305 RICE ST
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City | MIAMI
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State | FL
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Zip | 33133-5216
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Country | US
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Telephone | 305-742-4368
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Fax | 305-444-1523
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Provider Business Mailing Address
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Address Line | 3305 RICE ST
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City | MIAMI
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State | FL
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Zip | 33133-5216
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Country | US
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Telephone | 305-742-4368
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Fax | 305-444-1523
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS HERRERA
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Credential | DPT
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Telephone | 305-742-4368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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