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General NPI Number Information
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NPI Number | 1730674029
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Entity Type | Organization
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Legal Business Name | FINE THERAPY INC
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 3901 NW 79TH AVE STE 121
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City | DORAL
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State | FL
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Zip | 33166-6554
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Country | US
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Telephone | 305-805-7034
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Fax | 786-870-5753
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Provider Business Mailing Address
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Address Line | 3901 NW 79TH AVE STE 121
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City | DORAL
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State | FL
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Zip | 33166-6554
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Country | US
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Telephone | 305-805-7034
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Fax | 786-870-5753
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. YAQUELIN ARRIETA
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Credential |
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Telephone | 786-378-3121
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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 | HCC11379
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License Number State | FL
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