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General NPI Number Information
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NPI Number | 1023320603
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Entity Type | Individual
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Provider Name | STELLA MUNIZZI PT
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Gender | Female
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 10780 N US HIGHWAY 301
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City | OXFORD
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State | FL
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Zip | 34484-3505
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Country | US
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Telephone | 352-330-3900
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Fax | 352-330-3900
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Provider Business Mailing Address
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Address Line | 2222 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-7958
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Country | US
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Telephone | 800-944-9782
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Fax | 610-438-2024
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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 | PT15880
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License Number State | FL
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