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General NPI Number Information
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NPI Number | 1962317800
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Entity Type | Organization
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Legal Business Name | DR. PENELOPE REGALADO, DPT, LLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 1350 NE 211TH TER
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City | MIAMI
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State | FL
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Zip | 33179-1335
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Country | US
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Telephone | 561-591-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 NE 211TH TER
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City | MIAMI
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State | FL
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Zip | 33179-1335
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Country | US
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Telephone | 561-591-9776
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PENELOPE REGALADO
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Credential | DPT
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Telephone | 305-498-7664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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