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General NPI Number Information
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NPI Number | 1356635718
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Entity Type | Organization
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Legal Business Name | HOME THERAPY SERVICES,CORP
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 3505 S OCEAN DR SUITE 809
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2831
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Country | US
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Telephone | 954-529-4596
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Fax | 954-391-8746
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Provider Business Mailing Address
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Address Line | 3505 S OCEAN DR SUITE 809
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2831
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Country | US
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Telephone | 954-529-4596
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Fax | 954-391-8746
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ADRIANA G ROTA
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Credential | L.M.T.
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Telephone | 954-529-4596
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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 |
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License Number State |
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