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General NPI Number Information
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NPI Number | 1003019449
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Entity Type | Organization
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Legal Business Name | GINGER FITNESS AND REHABILITATION INC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 27553 CASHFORD CIR SUITE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6974
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Country | US
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Telephone | 813-631-9700
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Fax | 813-631-9770
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Provider Business Mailing Address
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Address Line | 27553 CASHFORD CIR SUITE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6974
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Country | US
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Telephone | 813-631-9700
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Fax | 813-631-9770
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MRS. HOANG C LE
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Credential | PT
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Telephone | 813-631-9700
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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 | PT8145
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License Number State | FL
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