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General NPI Number Information
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NPI Number | 1790062800
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Entity Type | Individual
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Provider Name | ALAIN MANDADO OTL
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Gender | Male
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 8300 W FLAGLER ST STE 170
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City | MIAMI
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State | FL
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Zip | 33144-2098
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Country | US
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Telephone | 786-633-5171
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Fax | 786-558-9279
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Provider Business Mailing Address
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Address Line | 19380 COLLINS AVE APT 204
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2234
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Country | US
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Telephone | 305-879-6704
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA63588
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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 | OT19239
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License Number State | FL
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