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General NPI Number Information
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NPI Number | 1225112048
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Entity Type | Organization
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Legal Business Name | MAYALA CORP
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 1260 UPSALA RD
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City | SANFORD
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State | FL
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Zip | 32771-6668
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Country | US
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Telephone | 407-328-7595
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Fax | 800-398-5605
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Provider Business Mailing Address
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Address Line | 1260 UPSALA RD
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City | SANFORD
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State | FL
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Zip | 32771-6668
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Country | US
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Telephone | 407-328-7595
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Fax | 800-398-5605
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Authorized Official
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Title or Position | OWNER
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Name | MELISA AYALA
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Credential |
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Telephone | 407-328-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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