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General NPI Number Information
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NPI Number | 1780956789
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Entity Type | Organization
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Legal Business Name | L&A THERAPY CENTER,CORP.
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 1701 W FLAGLER ST STE 329-330
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City | MIAMI
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State | FL
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Zip | 33135-2098
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Country | US
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Telephone | 786-558-7386
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Fax | 786-401-6128
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Provider Business Mailing Address
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Address Line | 1701 W FLAGLER ST STE 329-330
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City | MIAMI
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State | FL
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Zip | 33135-2098
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Country | US
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Telephone | 786-558-7386
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Fax | 786-401-6128
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AMAURY SANCHEZ MENDOZA
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Credential | LMT
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Telephone | 786-202-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MM 26542
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License Number State | FL
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