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General NPI Number Information
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NPI Number | 1700614724
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Entity Type | Organization
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Legal Business Name | MIRACLES IN THERAPY MIAMI LLC
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Dates
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Enumeration Date | 07/22/2024
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 11230 SW 156TH AVE
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City | MIAMI
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State | FL
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Zip | 33196-4357
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Country | US
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Telephone | 305-281-1970
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Fax | 305-239-2030
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Provider Business Mailing Address
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Address Line | 11230 SW 156TH AVE
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City | MIAMI
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State | FL
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Zip | 33196-4357
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Country | US
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Telephone | 305-281-1970
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Fax | 305-239-2030
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANIELIS MILAGRO RODRIGUEZ
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Credential |
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Telephone | 305-281-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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