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General NPI Number Information
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NPI Number | 1992127443
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Entity Type | Organization
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Legal Business Name | THE PILATES DOC, LLC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 20754 W DIXIE HWY
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City | AVENTURA
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State | FL
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Zip | 33180-1146
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Country | US
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Telephone | 561-866-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 20754 W DIXIE HWY
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City | AVENTURA
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State | FL
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Zip | 33180-1146
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Country | US
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Telephone | 561-866-7227
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. LINDSEY R HIMMEL
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Credential |
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Telephone | 561-866-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT28375
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License Number State | FL
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