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General NPI Number Information
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NPI Number | 1821491390
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Entity Type | Organization
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Legal Business Name | FISIO&QUALITY MIAMI INC
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 220 MIRACLE MILE SUITE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-5910
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Country | US
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Telephone | 305-476-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 220 MIRACLE MILE SUITE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-5910
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Country | US
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Telephone | 305-476-3646
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CEO
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Name | GUSTAVO BERTOLINO
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Credential |
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Telephone | 305-476-3646
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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