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General NPI Number Information
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NPI Number | 1528373594
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Entity Type | Organization
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Legal Business Name | GMC THERAPY SERVICES CORP
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 2760 SW 97TH AVE SUITE 109
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City | MIAMI
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State | FL
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Zip | 33165-2684
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Country | US
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Telephone | 305-227-2895
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Fax | 305-227-2937
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Provider Business Mailing Address
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Address Line | 2760 SW 97TH AVE SUITE 109
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City | MIAMI
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State | FL
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Zip | 33165-2684
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Country | US
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Telephone | 305-227-2895
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Fax | 305-227-2937
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREESY G MISURACA
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Credential | COTA
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Telephone | 305-227-2895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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