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General NPI Number Information
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NPI Number | 1972961787
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Entity Type | Individual
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Provider Name | LESLIE ALINA SANTOYO JIMENEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-666-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 SW 89TH CT
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City | MIAMI
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State | FL
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Zip | 33165-6611
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Country | US
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Telephone | 305-609-0921
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 29852
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License Number State | FL
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Taxonomy #2
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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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