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General NPI Number Information
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NPI Number | 1710205174
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Entity Type | Individual
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Provider Name | YEVGENY ONEFATOR DPT
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1893 NE MIAMI GARDENS DR
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City | MIAMI
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State | FL
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Zip | 33179-5035
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Country | US
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Telephone | 305-682-0080
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Fax | 305-682-0775
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Provider Business Mailing Address
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Address Line | 150 SUNNY ISLES BLVD UNIT 1402
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4395
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Country | US
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Telephone | 718-753-0364
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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 | 032674
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 38600
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License Number State | FL
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