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General NPI Number Information
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NPI Number | 1750850434
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Entity Type | Organization
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Legal Business Name | INSPIREHEALTHPT, LLC
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Dates
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Enumeration Date | 11/25/2018
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Last Update Date | 11/25/2018
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Provider Practice Location Address
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Address Line | 13111 SW 85TH AVENUE RD
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City | MIAMI
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State | FL
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Zip | 33156-6503
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Country | US
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Telephone | 305-479-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 10829 SW 232ND ST
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City | MIAMI
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State | FL
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Zip | 33170-7535
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Country | US
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Telephone | 305-479-7757
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JUAN GUZMAN DE JESUS
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Credential |
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Telephone | 305-479-7757
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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 |
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License Number State |
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