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General NPI Number Information
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NPI Number | 1558449470
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Entity Type | Individual
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Provider Name | JOLIANNE GONZALEZ-ABREU P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8740 N KENDALL DR STE 115
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City | MIAMI
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State | FL
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Zip | 33176-2209
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Country | US
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Telephone | 305-598-0229
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Fax | 305-598-0034
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Provider Business Mailing Address
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Address Line | 11211 SW 82ND AVENUE RD
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City | MIAMI
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State | FL
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Zip | 33156-4302
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Country | US
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Telephone | 786-242-9535
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 19209
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License Number State | FL
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