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General NPI Number Information
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NPI Number | 1710043500
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Entity Type | Organization
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Legal Business Name | THERAPEX, INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 S DOUGLAS RD SUITE B
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 305-444-6494
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Fax | 305-444-6405
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Provider Business Mailing Address
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Address Line | 2500 S DOUGLAS RD SUITE B
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City | CORAL GABLES
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State | FL
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Zip | 33134-6104
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Country | US
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Telephone | 305-444-6494
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Fax | 305-444-6405
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LUIS N CARRAZANA
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Credential | PUBLIC ACCOUNTANT
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Telephone | 305-444-6494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 103253
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License Number State | FL
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