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General NPI Number Information
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NPI Number | 1891382503
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Entity Type | Organization
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Legal Business Name | QUALITY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 10124 NW 27TH AVENUE
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City | MIAMI
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State | FL
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Zip | 33147
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Country | US
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Telephone | 786-310-3776
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Fax | 786-228-0857
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Provider Business Mailing Address
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Address Line | 10124 NW 27TH AVE
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City | MIAMI
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State | FL
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Zip | 33147-1759
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Country | US
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Telephone | 305-390-4252
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Fax | 305-390-4255
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Authorized Official
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Title or Position | PT
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Name | MS. EVELYN CAPDEVILA
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Credential |
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Telephone | 305-495-3040
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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