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General NPI Number Information
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NPI Number | 1356744130
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Entity Type | Organization
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Legal Business Name | THERAPY FOR SUCCESS
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 20012 NW 62ND CT
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City | HIALEAH
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State | FL
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Zip | 33015-2126
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Country | US
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Telephone | 786-247-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 20012 NW 62ND CT
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City | HIALEAH
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State | FL
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Zip | 33015-2126
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Country | US
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Telephone | 786-247-6499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YUMEL AMARAN
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Credential | COTA
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Telephone | 786-247-6499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OTA11959
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License Number State | FL
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