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General NPI Number Information
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NPI Number | 1396887006
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Entity Type | Organization
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Legal Business Name | U & L THERAPY CENTER INC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 3001 NW 49 AVE SUITE 202
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313
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Country | US
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Telephone | 954-739-9787
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Fax | 954-602-9586
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Provider Business Mailing Address
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Address Line | 3001 NW 49TH AVE SUITE 202
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-7266
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Country | US
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Telephone | 954-739-9787
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Fax | 954-602-9586
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSELITO FERNANDEZ
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Credential |
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Telephone | 954-937-7126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | HCC41600
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License Number State | FL
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