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General NPI Number Information
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NPI Number | 1417721325
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Entity Type | Organization
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Legal Business Name | BLUE D CLASS MEDSPA & THERAPY INC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 3009 NW 7 STREET
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City | MIAMI
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State | FL
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Zip | 33125-4203
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Country | US
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Telephone | 786-963-5892
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Fax | 305-489-6456
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Provider Business Mailing Address
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Address Line | 3009 NW 7 STREET
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City | MIAMI
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State | FL
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Zip | 33125-4203
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Country | US
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Telephone | 786-963-5892
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Fax | 305-489-6456
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOANDRA RODRIGUEZ
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Credential |
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Telephone | 786-963-5892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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