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General NPI Number Information
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NPI Number | 1699092635
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Entity Type | Organization
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Legal Business Name | GOOD HANDS MEDICAL & THERAPY CENTER, INC
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 7171 CORAL WAY 218
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City | MIAMI
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State | FL
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Zip | 33155-1449
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Country | US
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Telephone | 786-462-8866
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Fax | 786-350-2147
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Provider Business Mailing Address
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Address Line | 7171 CORAL WAY 218
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City | MIAMI
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State | FL
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Zip | 33155-1449
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Country | US
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Telephone | 786-462-8866
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Fax | 786-350-2147
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Authorized Official
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Title or Position | THERAPISTS
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Name | MRS. DELLANIDA FERNANDEZ
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Credential |
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Telephone | 786-462-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | HCC8186
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License Number State | FL
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