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General NPI Number Information
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NPI Number | 1730676719
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Entity Type | Organization
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Legal Business Name | BRIGHT STEPS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 2100 W 76TH ST STE 202B
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City | HIALEAH
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State | FL
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Zip | 33016-5503
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Country | US
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Telephone | 786-488-9364
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Fax | 786-541-5008
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Provider Business Mailing Address
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Address Line | 2100 W 76TH ST STE 202
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City | HIALEAH
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State | FL
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Zip | 33016-5503
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Country | US
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Telephone | 786-488-9364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAINEY V ARMAS PEREZ
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Credential |
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Telephone | 786-488-9364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 26656
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License Number State | FL
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