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General NPI Number Information
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NPI Number | 1528089620
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Entity Type | Organization
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Legal Business Name | VICARIA THERAPY CENTER
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9700 SW 24TH ST SUITE #C
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City | MIAMI
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State | FL
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Zip | 33165-7500
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Country | US
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Telephone | 305-207-0111
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Fax | 305-229-8419
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Provider Business Mailing Address
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Address Line | 9700 SW 24TH ST SUITE #C
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City | MIAMI
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State | FL
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Zip | 33165-7500
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Country | US
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Telephone | 305-207-0111
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Fax | 305-229-8419
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MS. DANIA MARTINEZ
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Credential |
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Telephone | 305-207-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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