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General NPI Number Information
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NPI Number | 1316515422
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Entity Type | Organization
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Legal Business Name | ADVANCED THERAPY INC.
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 16650 N KENDALL DR STE 213
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City | MIAMI
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State | FL
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Zip | 33196-1283
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Country | US
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Telephone | 786-622-7801
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Fax | 786-536-2764
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Provider Business Mailing Address
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Address Line | 6741 SW 24TH ST STE 59
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City | MIAMI
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State | FL
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Zip | 33155-1768
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Country | US
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Telephone | 786-622-7801
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASTRID A VILLALOBOS
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Credential | M.S
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Telephone | 786-622-7801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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