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General NPI Number Information
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NPI Number | 1790662096
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Entity Type | Organization
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Legal Business Name | BEYOND THE SPINE THERAPY INC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 5785A NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2490
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Country | US
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Telephone | 786-409-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 5785A NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2490
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Country | US
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Telephone | 786-409-5808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUTH ELENA MARQUEZ
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Credential |
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Telephone | 786-340-9038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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