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General NPI Number Information
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NPI Number | 1821277989
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Entity Type | Organization
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Legal Business Name | LOGISTICS THERAPY OF BROWARD LLC
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 8955 SW 87TH CT STE 110
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City | MIAMI
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State | FL
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Zip | 33176-2264
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Country | US
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Telephone | 786-363-3900
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Fax | 305-630-9654
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Provider Business Mailing Address
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Address Line | 8955 SW 87TH CT STE 110
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City | MIAMI
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State | FL
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Zip | 33176-2264
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Country | US
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Telephone | 786-363-3900
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Fax | 305-630-9654
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Authorized Official
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Title or Position | MANAGER
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Name | ANELISA PEREZ
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Credential |
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Telephone | 786-363-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | HCC3962
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License Number State | FL
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