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General NPI Number Information
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NPI Number | 1245665728
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Entity Type | Organization
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Legal Business Name | THERAPY & SERVICE FOR U , INC
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Dates
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Enumeration Date | 09/04/2013
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2K
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City | MIAMI
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State | FL
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Zip | 33172-7014
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Country | US
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Telephone | 786-316-5546
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Fax | 305-221-8501
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2K
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City | MIAMI
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State | FL
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Zip | 33172-7014
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Country | US
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Telephone | 786-316-5546
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Fax | 305-221-8501
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | MR. WILFREDO FAJO JR.
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Credential |
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Telephone | 786-316-5546
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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 |
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License Number State |
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