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General NPI Number Information
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NPI Number | 1457471955
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Entity Type | Individual
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Provider Name | CLAUDIO SOBERANES PT
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 4730 SW 72ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-4518
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Country | US
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Telephone | 786-362-5482
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Fax | 305-397-2846
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Provider Business Mailing Address
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Address Line | 4730 SW 72ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-4518
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Country | US
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Telephone | 786-362-5482
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Fax | 305-397-2846
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT16139
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License Number State | FL
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