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General NPI Number Information
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NPI Number | 1669775441
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Entity Type | Organization
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Legal Business Name | AH THERAPY SERVICES INC.
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 2620 W 9TH LN
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City | HIALEAH
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State | FL
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Zip | 33010-1228
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Country | US
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Telephone | 786-285-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 W 9TH LN
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City | HIALEAH
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State | FL
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Zip | 33010-1228
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Country | US
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Telephone | 786-285-8742
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MS. ALIANYS HERNANDEZ
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Credential | LMT
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Telephone | 786-285-8742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MA58638
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License Number State | FL
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