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General NPI Number Information
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NPI Number | 1013127190
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Entity Type | Individual
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Provider Name | LOREN HEATH PEREZ PT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 795 EXECUTIVE DR
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City | OVIEDO
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State | FL
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Zip | 32765-7699
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Country | US
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Telephone | 407-340-2027
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Fax | 407-366-3254
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Provider Business Mailing Address
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Address Line | 1559 WESCOTT LOOP
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5615
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Country | US
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Telephone | 423-364-4773
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4942
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License Number State | TN
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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 | 31542
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License Number State | FL
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