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General NPI Number Information
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NPI Number | 1316217722
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Entity Type | Organization
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Legal Business Name | FLORIDA RECOVERY PROFESSIONALS, INC.
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 7811 CORAL WAY STE 106
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-264-1294
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Fax | 305-264-1293
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Provider Business Mailing Address
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Address Line | 7811 CORAL WAY STE 106
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City | MIAMI
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State | FL
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Zip | 33155-6540
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Country | US
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Telephone | 305-264-1294
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Fax | 305-264-1293
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARIDAD CEBALLOS
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Credential |
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Telephone | 305-264-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA66212
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License Number State | FL
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