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General NPI Number Information
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NPI Number | 1649478660
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Entity Type | Organization
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Legal Business Name | I M T F INC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 5101 SW 8TH ST STE 2B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-443-2228
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 SW 8TH ST STE 2B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-443-2228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ALFARO
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Credential |
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Telephone | 305-443-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number | 3404431
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License Number State | FL
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