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General NPI Number Information
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NPI Number | 1558686139
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Entity Type | Organization
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Legal Business Name | INJURY TREATMENT CENTER OF MIAMI
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 3485 W FLAGLER ST SUITE 300
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City | MIAMI
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State | FL
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Zip | 33135-1042
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Country | US
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Telephone | 305-640-8280
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Fax | 305-640-8331
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Provider Business Mailing Address
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Address Line | 3485 W FLAGLER ST SUITE 300
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City | MIAMI
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State | FL
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Zip | 33135-1042
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Country | US
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Telephone | 305-640-8280
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Fax | 305-640-8331
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Authorized Official
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Title or Position | MGRM
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Name | DR. ANTONIO L PEREZ-NOY
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Credential |
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Telephone | 305-640-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | ME53247
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License Number State | FL
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