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General NPI Number Information
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NPI Number | 1174961478
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Entity Type | Organization
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Legal Business Name | CARE LOVE THERAPY INC.
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 06/17/2013
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Provider Practice Location Address
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Address Line | 13252 NW 1ST TER
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City | MIAMI
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State | FL
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Zip | 33182-1640
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Country | US
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Telephone | 305-401-0190
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Fax | 305-889-0610
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Provider Business Mailing Address
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Address Line | 13252 NW 1ST TER
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City | MIAMI
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State | FL
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Zip | 33182-1640
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Country | US
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Telephone | 305-401-0190
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Fax | 305-889-0610
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IVETTE QUINTANA
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Credential | PT
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Telephone | 305-401-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 7858
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License Number State | FL
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