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General NPI Number Information
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NPI Number | 1902573504
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Entity Type | Individual
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Provider Name | ANIKA PALMA
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 300
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City | MIAMI
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State | FL
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Zip | 33183-4826
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Country | US
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Telephone | 786-870-5426
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Fax |
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Provider Business Mailing Address
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Address Line | 9400 SW 166TH CT
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City | MIAMI
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State | FL
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Zip | 33196-4874
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Country | US
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Telephone |
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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 | PTA31373
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License Number State | FL
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