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General NPI Number Information
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NPI Number | 1497786610
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Entity Type | Organization
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Legal Business Name | M&T THERAPIST ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 18300 NW 62ND AVE SUITE # 210
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City | MIAMI GARDENS
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State | FL
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Zip | 33015-8200
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Country | US
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Telephone | 305-474-4960
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Fax | 305-474-4962
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Provider Business Mailing Address
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Address Line | 18300 NW 62ND AVE SUITE # 210
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City | MIAMI GARDENS
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State | FL
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Zip | 33015-8200
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Country | US
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Telephone | 305-474-4960
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Fax | 305-474-4962
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. EDUARDO A QUIROGA
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Credential |
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Telephone | 305-474-4960
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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 | PT8915
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA4558
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License Number State | FL
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