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General NPI Number Information
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NPI Number | 1013490226
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Entity Type | Individual
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Provider Name | PRECILLA ANN TORRES FLORENDO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | PARAGON REHABILITATION 2701 CHESTNUT STATION COURT
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City | LOIUSVILLE
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State | KY
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Zip | 40299
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Country | US
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Telephone | 800-335-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 2705 MOON SHADOW DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-4144
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Country | US
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Telephone | 505-386-6377
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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 | PT4244
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License Number State | NM
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