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General NPI Number Information
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NPI Number | 1831697994
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Entity Type | Individual
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Provider Name | MICHAEL LAVOY
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 8328 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3337
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Country | US
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Telephone | 305-595-2053
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Fax | 305-595-2053
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Provider Business Mailing Address
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Address Line | 19701 SW 110TH CT APT # 233
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City | MIAMI
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State | FL
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Zip | 33157-8470
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Country | US
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Telephone | 786-230-6752
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA28000
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License Number State | FL
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