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General NPI Number Information
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NPI Number | 1235004169
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Entity Type | Organization
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Legal Business Name | IRIS OTERO BODY HEALING INC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 10300 SUNSET DR STE 482
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City | MIAMI
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State | FL
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Zip | 33173-3022
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Country | US
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Telephone | 786-720-8296
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 SUNSET DR STE 482
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City | MIAMI
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State | FL
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Zip | 33173-3022
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Country | US
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Telephone | 786-720-8296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRIS C OTERO
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Credential | MLT
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Telephone | 305-721-4221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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