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General NPI Number Information
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NPI Number | 1164203733
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Entity Type | Organization
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Legal Business Name | ABS THERAPY GROUP INC
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 633 NE 167TH ST STE 802
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2446
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Country | US
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Telephone | 305-244-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 633 NE 167TH ST STE 802
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2446
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Country | US
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Telephone | 305-244-0128
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SADY SOTO LAMAS
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Credential |
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Telephone | 305-244-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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