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General NPI Number Information
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NPI Number | 1215369350
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Entity Type | Organization
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Legal Business Name | A&W HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 18921 NW 2ND AVE STE B
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City | MIAMI
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State | FL
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Zip | 33169-4008
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Country | US
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Telephone | 305-816-6627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 695419
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City | MIAMI
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State | FL
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Zip | 33269-5419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL
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Name | DR. ALYSIA WILLIAMS
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Credential | DPT
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Telephone | 786-457-3049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT28103
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License Number State | FL
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