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General NPI Number Information
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NPI Number | 1053646950
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Entity Type | Individual
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Provider Name | STEVEN ALAN WEBSTER PTA
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Gender | Male
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 5901 BROKEN SOUND PKWY SUITE500
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City | BOCA RATON
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State | FL
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Zip | 33487-2773
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Country | US
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Telephone | 800-875-8999
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Fax | 888-367-0313
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Provider Business Mailing Address
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Address Line | PO BOX 1213
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City | TOPOCK
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State | AZ
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Zip | 86436-1213
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Country | US
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Telephone | 231-333-5049
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT3872
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License Number State | CA
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