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General NPI Number Information
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NPI Number | 1689779100
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Entity Type | Organization
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Legal Business Name | AA PROFESSIONAL THERAPIST INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 5757 SW 8 STREET SUITE 202
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-269-0947
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Fax | 305-269-0948
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Provider Business Mailing Address
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Address Line | 5757 SW 8 STREET SUITE 202
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-269-0947
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Fax | 305-269-0948
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL GARCIA
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Credential |
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Telephone | 305-269-0947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 686681
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License Number State | FL
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