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General NPI Number Information
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NPI Number | 1568490175
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY ALPHA INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 15251 SW 109TH ST
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City | MIAMI
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State | FL
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Zip | 33196-3578
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Country | US
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Telephone | 305-283-8466
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Fax | 305-283-8466
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Provider Business Mailing Address
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Address Line | 15251 SW 109TH ST
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City | MIAMI
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State | FL
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Zip | 33196-3578
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Country | US
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Telephone | 305-283-8466
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Fax | 305-283-8466
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Authorized Official
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Title or Position | CEO
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Name | CLEMENCIA RAMIREZ
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Credential | PT
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Telephone | 305-283-8466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT 7222
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License Number State | FL
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