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General NPI Number Information
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NPI Number | 1891385852
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Entity Type | Individual
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Provider Name | MICHAL LINARES IZQUIERDO
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Gender | Male
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 234 NW 136TH PL
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City | MIAMI
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State | FL
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Zip | 33182-1942
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Country | US
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Telephone | 786-306-5603
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Fax |
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Provider Business Mailing Address
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Address Line | 234 NW 136TH PL
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City | MIAMI
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State | FL
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Zip | 33182-1942
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Country | US
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Telephone | 786-306-5603
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-85592
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA27086
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License Number State | FL
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