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General NPI Number Information
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NPI Number | 1790790541
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Entity Type | Organization
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Legal Business Name | SPIROFF INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2004 NORTH KROME AVENUE
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City | HOMESTEAD
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State | FL
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Zip | 33030-3242
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Country | US
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Telephone | 305-245-4905
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Fax | 305-245-9819
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Provider Business Mailing Address
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Address Line | 2004 NORTH KROME AVENUE
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City | HOMESTEAD
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State | FL
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Zip | 33030-3242
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Country | US
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Telephone | 305-245-4905
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Fax | 305-245-9819
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Authorized Official
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Title or Position | OWNER THERAPIST
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Name | MR. RICHARD EDWARD SPIROFF
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Credential | MSPT
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Telephone | 305-245-4905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18258
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License Number State | FL
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