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General NPI Number Information
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NPI Number | 1730487174
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Entity Type | Organization
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Legal Business Name | SARIOL MASSAGE & THERAPY SERVICES CORP.
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 9600 SW 8TH ST STE 21
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City | MIAMI
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State | FL
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Zip | 33174-2968
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Country | US
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Telephone | 305-381-5418
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Fax | 305-456-9960
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Provider Business Mailing Address
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Address Line | 9600 SW 8TH ST STE 21
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City | MIAMI
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State | FL
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Zip | 33174-2968
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Country | US
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Telephone | 305-381-5418
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Fax | 305-456-9960
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Authorized Official
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Title or Position | OWNER
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Name | DAVID M PENA, SARIOL
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Credential | MA
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Telephone | 305-381-5418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MA61455
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License Number State | FL
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