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General NPI Number Information
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NPI Number | 1063066207
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Entity Type | Organization
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Legal Business Name | PRINCIPLE THERAPY SOLUTIONS
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 7498 NW 17TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1002
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Country | US
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Telephone | 202-257-1857
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Fax |
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Provider Business Mailing Address
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Address Line | 7498 NW 17TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1002
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Country | US
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Telephone | 202-257-1857
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Fax |
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Authorized Official
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Title or Position | MANAGER/ OWNER
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Name | MR. ALON WEIR
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Credential | PT
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Telephone | 954-347-7091
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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