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General NPI Number Information
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NPI Number | 1518939412
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Entity Type | Organization
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Legal Business Name | ANC PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 4615 NW 72ND AVE STE 115
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City | MIAMI
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State | FL
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Zip | 33166-5689
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Country | US
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Telephone | 305-591-3284
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Fax | 305-594-3093
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Provider Business Mailing Address
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Address Line | 4615 NW 72ND AVE STE 115
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City | MIAMI
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State | FL
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Zip | 33166-5689
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Country | US
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Telephone | 305-591-3284
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Fax | 305-594-3093
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CARIDAD VELAZQUEZ
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Credential |
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Telephone | 305-591-3284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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