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General NPI Number Information
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NPI Number | 1033258199
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Entity Type | Organization
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Legal Business Name | PRIETO PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/06/2010
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Provider Practice Location Address
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Address Line | 832 US HIGHWAY 41 S
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City | INVERNESS
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State | FL
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Zip | 34450-6859
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Country | US
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Telephone | 352-341-4600
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Fax | 352-560-4224
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Provider Business Mailing Address
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Address Line | PO BOX 597
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City | HERNANDO
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State | FL
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Zip | 34442-0597
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Country | US
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Telephone | 352-341-4600
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Fax | 352-560-4224
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORENCIO A PRIETO
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Credential | PT
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Telephone | 352-341-4600
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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 |
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License Number State |
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