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General NPI Number Information
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NPI Number | 1770031981
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Entity Type | Individual
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Provider Name | YANETSY INIGO OTR, PTA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 570 E 16TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-3233
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Country | US
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Telephone | 786-908-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 570 E 16TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-3233
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Country | US
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Telephone | 786-908-7190
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 26211
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 262627
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License Number State | FL
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