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General NPI Number Information
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NPI Number | 1073851879
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Entity Type | Organization
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Legal Business Name | THERACHOICE INC.
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 111 2ND AVE NE SUITE 900
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3434
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Country | US
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Telephone | 813-690-1327
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Fax | 727-823-3702
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Provider Business Mailing Address
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Address Line | 111 2ND AVE NE SUITE 900
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3434
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Country | US
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Telephone | 813-690-1327
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Fax | 727-823-3702
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Authorized Official
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Title or Position | OWNER
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Name | ELANDA DIAZ
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Credential | MS CCC-SLP
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Telephone | 813-690-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | SA10180
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA10180
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License Number State | FL
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