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General NPI Number Information
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NPI Number | 1528347721
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Entity Type | Organization
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Legal Business Name | A & A PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 08/05/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 7805 CORAL WAY SUITE 116
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City | MIAMI
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State | FL
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Zip | 33155-6539
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Country | US
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Telephone | 305-392-0782
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Fax | 786-953-6098
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Provider Business Mailing Address
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Address Line | 7805 CORAL WAY SUITE 116
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City | MIAMI
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State | FL
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Zip | 33155-6539
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Country | US
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Telephone | 305-392-0782
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Fax | 786-953-6098
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Authorized Official
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Title or Position | PRES/OWNER
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Name | ELIAS PIMENTEL
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Credential |
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Telephone | 305-392-0782
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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 | MA 44625
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License Number State | FL
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