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General NPI Number Information
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NPI Number | 1598653727
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Entity Type | Individual
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Provider Name | JOSELY GABRIELA MANRIQUE MONTESINOS PT
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3575 NE 207TH ST STE B17
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City | AVENTURA
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State | FL
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Zip | 33180-3705
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Country | US
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Telephone | 305-306-8376
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Fax | 305-306-8373
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Provider Business Mailing Address
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Address Line | 3606 NW 5TH AVE APT 1209
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City | MIAMI
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State | FL
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Zip | 33127-3173
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Country | US
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Telephone | 786-878-2936
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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 | PT43087
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License Number State | FL
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