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General NPI Number Information
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NPI Number | 1679952121
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Entity Type | Organization
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Legal Business Name | CARIDAD SERVICE CENTER INC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 1110 BRICKELL AVE SUITE 430K-45
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City | MIAMI
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State | FL
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Zip | 33131-3132
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Country | US
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Telephone | 786-991-3409
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Fax | 786-408-5714
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Provider Business Mailing Address
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Address Line | 1110 BRICKELL AVE SUITE 430K-45
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City | MIAMI
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State | FL
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Zip | 33131-3132
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Country | US
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Telephone | 786-991-3409
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Fax | 786-408-5714
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Authorized Official
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Title or Position | PRESIDENT
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Name | CINDY C ACOSTA
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Credential | PT
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Telephone | 786-991-3409
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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 | PT22503
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License Number State | FL
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