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General NPI Number Information
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NPI Number | 1316215643
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Entity Type | Organization
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Legal Business Name | DIAMOND THERAPY ASSOCIATES
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 900 W 49TH ST STE 501
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City | HIALEAH
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State | FL
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Zip | 33012-3488
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Country | US
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Telephone | 305-826-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W 49TH ST STE 501
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City | HIALEAH
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State | FL
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Zip | 33012-3488
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Country | US
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Telephone | 305-826-4844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESITA BELLO
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Credential |
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Telephone | 305-877-3196
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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 | HCC8981
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License Number State | FL
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