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General NPI Number Information
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NPI Number | 1790023786
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Entity Type | Organization
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Legal Business Name | LG THERAPEUTIC TOUCH CORP
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 4790 NW 7TH ST STE 104
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City | MIAMI
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State | FL
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Zip | 33126-2200
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Country | US
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Telephone | 305-569-0414
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Fax | 305-569-0415
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Provider Business Mailing Address
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Address Line | 4790 NW 7TH ST STE 104
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City | MIAMI
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State | FL
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Zip | 33126-2200
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Country | US
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Telephone | 305-569-0414
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Fax | 305-569-0415
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUSTAVO RAMIREZ
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Credential |
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Telephone | 305-569-0414
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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 |
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License Number State |
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