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General NPI Number Information
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NPI Number | 1083490312
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Entity Type | Individual
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Provider Name | RACHEL DUTRA DPT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 21737 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33428-2822
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Country | US
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Telephone | 561-257-3006
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Fax | 561-409-2569
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Provider Business Mailing Address
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Address Line | 1301 NW 2ND CIR
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City | BOCA RATON
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State | FL
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Zip | 33432-1417
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Country | US
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Telephone | 561-305-2692
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40837
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License Number State | FL
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