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General NPI Number Information
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NPI Number | 1023817632
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Entity Type | Individual
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Provider Name | CAROLINA ORJUELA MPT, COMPT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 9900 STIRLING RD
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8065
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Country | US
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Telephone | 954-261-9419
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 SW 148TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-3680
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Country | US
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Telephone | 954-479-2923
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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 | PT42920
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License Number State | FL
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