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General NPI Number Information
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NPI Number | 1780245316
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Entity Type | Organization
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Legal Business Name | MD THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 14331 SW 120TH ST STE 103
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City | MIAMI
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State | FL
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Zip | 33186-7298
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Country | US
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Telephone | 786-212-1008
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Fax | 786-334-5826
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Provider Business Mailing Address
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Address Line | 14331 SW 120TH ST STE 103
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City | MIAMI
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State | FL
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Zip | 33186-7298
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Country | US
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Telephone | 786-212-1008
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Fax | 786-334-5826
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID HERNAN SPINETTI
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Credential |
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Telephone | 786-973-6043
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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 |
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License Number State |
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