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NPI 1700647393

NPI 1700647393 : DAVID ANTHONY PEREZ-ESPINOSA DPT : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1700647393
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID ANTHONY PEREZ-ESPINOSA DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/19/2024
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    Last Update Date     |    09/25/2024
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Provider Practice Location Address
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    Address Line         |    3600 W FLAGLER ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33135-1030
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    Country              |    US
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    Telephone            |    786-246-5597
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5340 SW 59TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-6360
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    Country              |    US
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    Telephone            |    786-246-5597
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    41059
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    License Number State |    FL
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