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General NPI Number Information
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NPI Number | 1477028702
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Entity Type | Organization
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Legal Business Name | K & M THERAPY SERVICES CORP
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Dates
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Enumeration Date | 10/13/2018
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Last Update Date | 08/17/2019
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Provider Practice Location Address
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Address Line | 8871 FONTAINEBLEAU BLVD APT 504
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City | MIAMI
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State | FL
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Zip | 33172-4468
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Country | US
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Telephone | 386-466-5625
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Fax |
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Provider Business Mailing Address
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Address Line | 8871 FONTAINEBLEAU BLVD APT 504
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City | MIAMI
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State | FL
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Zip | 33172-4468
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Country | US
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Telephone | 386-466-5625
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYRENIA MAQUEIRA
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Credential | PTA
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Telephone | 386-466-5625
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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 |
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License Number State |
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Taxonomy #2
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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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