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General NPI Number Information
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NPI Number | 1871631820
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Entity Type | Organization
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Legal Business Name | PREFERRED THERAPY SERVICES CORP
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 2140 W 68TH ST STE 101
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City | HIALEAH
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State | FL
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Zip | 33016-1815
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Country | US
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Telephone | 305-822-8815
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Fax | 305-822-8873
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Provider Business Mailing Address
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Address Line | 2140 W 68TH ST STE 101
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City | HIALEAH
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State | FL
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Zip | 33016-1815
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Country | US
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Telephone | 305-822-8815
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Fax | 305-822-8873
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Authorized Official
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Title or Position | DIRECTOR
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Name | YAMILA BLANCO
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Credential | PTA
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Telephone | 305-822-8815
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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 | NA
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License Number State | FL
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