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General NPI Number Information
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NPI Number | 1053670463
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Entity Type | Organization
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Legal Business Name | HEALTHWORX PHYSICAL THERAPY CENTERS LLC
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 7318 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-2529
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Country | US
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Telephone | 561-702-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 LAKERIDGE BLVD STE 23
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City | BOCA RATON
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State | FL
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Zip | 33496-2181
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Country | US
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Telephone | 561-477-6926
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Fax |
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Authorized Official
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Title or Position | MGMR
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Name | BRADLEY S GOLDMAN
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Credential | MAPT
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Telephone | 561-702-3838
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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 | PT10059
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License Number State | FL
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