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General NPI Number Information
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NPI Number | 1437469582
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Entity Type | Organization
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Legal Business Name | CUTLER BAY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 18901 SW 106 AVE SUITE #203 A
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City | MIAMI
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State | FL
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Zip | 33157-7661
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Country | US
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Telephone | 305-254-2090
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Fax | 305-254-2099
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Provider Business Mailing Address
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Address Line | 18901 SW 106 AVE SUITE #203 A
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City | MIAMI
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State | FL
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Zip | 33157-7661
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Country | US
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Telephone | 305-254-2090
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Fax | 305-254-2099
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Authorized Official
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Title or Position | OWNER
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Name | BEATRIZ AGUIAR
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Credential |
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Telephone | 305-254-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MM 25571
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License Number State | FL
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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 | MM25571
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License Number State | FL
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