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General NPI Number Information
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NPI Number | 1558889832
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Entity Type | Organization
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Legal Business Name | HRMAX PERFORMANCE, INC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 137 SE 22ND TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-7232
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Country | US
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Telephone | 305-879-3704
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Fax |
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Provider Business Mailing Address
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Address Line | 137 SE 22ND TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-7232
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Country | US
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Telephone | 305-879-3704
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSA ILEANA SANCHEZ SOCA
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Credential |
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Telephone | 305-879-3704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT32821
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License Number State |
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