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NPI 1043263197

NPI 1043263197 : LAUDERHILL PHYSICAL THERAPY, LLC : LAUDERHILL, FL

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General NPI Number Information
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    NPI Number           |    1043263197
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAUDERHILL PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    7175 W OAKLAND PARK BLVD 
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    City                 |    LAUDERHILL
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    State                |    FL
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    Zip                  |    33313-1050
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    Country              |    US
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    Telephone            |    954-572-0777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7175 W OAKLAND PARK BLVD 
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    City                 |    LAUDERHILL
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    State                |    FL
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    Zip                  |    33313-1050
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    Country              |    US
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    Telephone            |    954-572-0777
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CRAIG  PIAZZA 
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    Credential           |    PHYSICAL THERAPIST
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    Telephone            |    954-572-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    FL
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