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General NPI Number Information
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NPI Number | 1053139964
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Entity Type | Organization
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Legal Business Name | LYMPHATX INC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 7401 N UNIVERSITY DR STE 103
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City | TAMARAC
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State | FL
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Zip | 33321-2933
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Country | US
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Telephone | 954-752-1500
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Fax | 954-752-1502
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Provider Business Mailing Address
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Address Line | 7301 W PALMETTO PARK RD STE 101C
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City | BOCA RATON
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State | FL
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Zip | 33433-3455
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Country | US
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Telephone | 561-392-5131
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Fax | 561-392-5161
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | PAMELA FREEDMAN COHEN
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Credential |
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Telephone | 561-392-5131
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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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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