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General NPI Number Information
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NPI Number | 1891065082
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Entity Type | Organization
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Legal Business Name | ADVANCED MANUAL THERAPIES, INC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 301 CRAWFORD BLVD SUITE 103
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City | BOCA RATON
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State | FL
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Zip | 33432-3777
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Country | US
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Telephone | 954-648-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 301 CRAWFORD BLVD SUITE 103
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City | BOCA RATON
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State | FL
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Zip | 33432-3777
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Country | US
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Telephone | 954-648-8090
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ELIZABETH ARIAS
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Credential | P.T., L.M.T.
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Telephone | 954-648-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA7945
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT17989
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License Number State | FL
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