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General NPI Number Information
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NPI Number | 1659700680
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Entity Type | Individual
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Provider Name | MARISOL HORTA PT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 3808 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6462
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Country | US
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Telephone | 305-551-3338
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Fax | 305-551-3339
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Provider Business Mailing Address
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Address Line | 3808 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6462
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Country | US
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Telephone | 305-551-3338
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Fax | 305-551-3339
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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 | PT28818
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License Number State | FL
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