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General NPI Number Information
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NPI Number | 1700217445
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Entity Type | Organization
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Legal Business Name | PINO THERAPY & MASSAGE INC
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Dates
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Enumeration Date | 12/05/2013
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Last Update Date | 12/05/2013
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Provider Practice Location Address
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Address Line | 12360 SW 132ND CT STE 104
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City | MIAMI
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State | FL
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Zip | 33186-6461
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Country | US
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Telephone | 305-251-0055
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Fax | 305-251-0019
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Provider Business Mailing Address
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Address Line | 12360 SW 132ND CT STE 104
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City | MIAMI
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State | FL
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Zip | 33186-6461
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Country | US
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Telephone | 305-251-0055
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Fax | 305-251-0019
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OSVALDO PINO
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Credential |
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Telephone | 305-251-0055
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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 | HCC10878
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License Number State | FL
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