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General NPI Number Information
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NPI Number | 1659321008
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Entity Type | Individual
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Provider Name | ALIYAH FINSTAD PTA, CLT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 30201 SW 172ND AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4820
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Country | US
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Telephone | 305-878-2158
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Fax | 305-248-9778
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Provider Business Mailing Address
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Address Line | 30201 SW 172ND AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4820
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Country | US
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Telephone | 305-878-2158
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Fax | 305-248-9778
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA20194
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License Number State | FL
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