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General NPI Number Information
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NPI Number | 1285919340
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Entity Type | Organization
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Legal Business Name | F.A. NEUROMUSCULAR CARE CORP
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 4350 SW 11TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2709
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Country | US
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Telephone | 786-348-5415
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 SW 11TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2709
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Country | US
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Telephone | 786-348-5415
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK ALONSO
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Credential | MA
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Telephone | 786-348-5415
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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 | MA56819
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License Number State | FL
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