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General NPI Number Information
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NPI Number | 1205109725
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Entity Type | Individual
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Provider Name | MAYRA CABRERA GARCIA LMT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 6955 NW 77TH AVE SUITE303
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City | MIAMI
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State | FL
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Zip | 33166-2852
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Country | US
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Telephone | 305-888-8550
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Fax | 305-888-8556
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Provider Business Mailing Address
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Address Line | 6955 NW 77TH AVE SUITE303
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City | MIAMI
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State | FL
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Zip | 33166-2852
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Country | US
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Telephone | 305-888-8550
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Fax | 305-888-8556
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MA60375
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License Number State | FL
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