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General NPI Number Information
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NPI Number | 1982028254
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Entity Type | Individual
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Provider Name | RAYLER YANDER ROJAS PTA
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Gender | Male
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 2221 W 52ND ST APT 312
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City | HIALEAH
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State | FL
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Zip | 33016-2067
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Country | US
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Telephone | 941-587-9386
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Fax |
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Provider Business Mailing Address
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Address Line | 8040 NW 95TH STREET SUITE 223-224
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-2067
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Country | US
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Telephone | 941-587-9386
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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 | PTA24107
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License Number State | FL
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