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General NPI Number Information
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NPI Number | 1457738171
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Entity Type | Organization
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Legal Business Name | CENTURY LIFE INC
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 11890 SW 8TH ST SUITE 205
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City | MIAMI
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State | FL
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Zip | 33184-1743
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Country | US
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Telephone | 786-342-1329
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Fax | 786-431-2552
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Provider Business Mailing Address
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Address Line | 11890 SW 8TH ST SUITE 205
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City | MIAMI
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State | FL
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Zip | 33184-1743
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Country | US
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Telephone | 786-342-1329
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Fax | 786-431-2552
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS GARMENDIA FERRER
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Credential |
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Telephone | 786-342-1329
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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 |
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License Number State |
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