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General NPI Number Information
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NPI Number | 1952806341
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Entity Type | Individual
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Provider Name | DIANA SUAREZ PT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 13055 SW 42ND ST STE 104
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City | MIAMI
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State | FL
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Zip | 33175-3470
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Country | US
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Telephone | 786-360-6125
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Fax | 786-431-5231
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Provider Business Mailing Address
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Address Line | 12460 SW 184TH ST
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City | MIAMI
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State | FL
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Zip | 33177-3156
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Country | US
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Telephone | 786-780-7509
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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 |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PTA
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-1864647
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License Number State | FL
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