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General NPI Number Information
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NPI Number | 1487992384
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Entity Type | Organization
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Legal Business Name | AYAMA YOGA & HEALING ARTS
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 2250 NE 163RD ST STE 3C
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3760
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Country | US
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Telephone | 305-932-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 NE 163RD ST STE 3C
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3760
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Country | US
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Telephone | 305-932-7755
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARIANO ARDISSONE
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Credential |
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Telephone | 305-495-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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