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General NPI Number Information
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NPI Number | 1043404221
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Entity Type | Organization
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Legal Business Name | ROYAL PHYSICAL THERAPY AND WELLNESS, CORP
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 809 NW 119TH ST
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City | MIAMI
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State | FL
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Zip | 33168-2336
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Country | US
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Telephone | 786-226-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 13021 NW 1ST ST SUITE 305
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2290
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Country | US
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Telephone | 786-226-7290
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. VIRGINIA LINDSEY
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Credential |
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Telephone | 786-226-7290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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