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General NPI Number Information
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NPI Number | 1811366537
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Entity Type | Individual
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Provider Name | ELIZABETH DIAZ DPT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 8410 SW 202ND ST
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City | CUTLER BAY
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State | FL
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Zip | 33189-2036
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Country | US
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Telephone | 305-300-6936
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Fax | 305-402-2433
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Provider Business Mailing Address
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Address Line | 8742 SW 213TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-7303
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Country | US
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Telephone | 786-623-7915
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT40503
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License Number State | FL
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