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General NPI Number Information
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NPI Number | 1013501840
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Entity Type | Individual
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Provider Name | LAURA ROBIN MOHAMMED MSPT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 2480 N PARK RD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3744
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Country | US
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Telephone | 954-989-8008
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Fax | 954-983-5560
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Provider Business Mailing Address
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Address Line | 1081 SW 91ST AVE
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City | PLANTATION
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State | FL
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Zip | 33324-3817
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Country | US
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Telephone | 954-559-5826
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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 | 10295
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License Number State | FL
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