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General NPI Number Information
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NPI Number | 1548581077
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Entity Type | Organization
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Legal Business Name | NEW YOU THERAPY, INC.
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 3900 NW 79TH AVE SUITE 332
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City | DORAL
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State | FL
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Zip | 33166-6556
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Country | US
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Telephone | 305-594-9588
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Fax | 305-594-9844
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Provider Business Mailing Address
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Address Line | 3900 NW 79TH AVE SUITE 332
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City | DORAL
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State | FL
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Zip | 33166-6556
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Country | US
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Telephone | 305-594-9588
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Fax | 305-594-9844
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JUAN M ARENCIBIA
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Credential | M.T.L
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Telephone | 305-934-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | HCC8123
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License Number State | FL
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