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General NPI Number Information
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NPI Number | 1578767752
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Entity Type | Individual
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Provider Name | GLADYS VALENTINA PINERO
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6555 NW 36TH ST STE 200
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6900
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Country | US
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Telephone | 305-871-2238
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Fax | 305-871-2281
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Provider Business Mailing Address
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Address Line | 7866 NW 170TH TER
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City | HIALEAH
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State | FL
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Zip | 33015-3810
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Country | US
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Telephone | 305-336-2286
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Fax | 305-819-2153
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA49167
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License Number State | FL
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