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General NPI Number Information
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NPI Number | 1679762348
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Entity Type | Individual
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Provider Name | JANETH CANO DE CLAS M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 1500 S DOUGLAS RD
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City | CORAL GABLES
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State | FL
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Zip | 33134-4108
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Country | US
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Telephone | 305-448-0146
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Fax | 305-448-0147
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Provider Business Mailing Address
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Address Line | 17910 SW 80TH AVE SUITE 210
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-7406
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Country | US
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Telephone | 305-254-7007
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Fax | 305-254-7007
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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 | PT22371
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License Number State | FL
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