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General NPI Number Information
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NPI Number | 1093521932
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Entity Type | Individual
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Provider Name | AUSTIN VOLOVAR DPT
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Gender | Male
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 4110 AURORA ST
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City | CORAL GABLES
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State | FL
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Zip | 33146-1416
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Country | US
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Telephone | 786-205-1874
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Fax |
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Provider Business Mailing Address
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Address Line | 10204 SW 77TH CT
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City | MIAMI
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State | FL
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Zip | 33156-2668
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Country | US
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Telephone | 786-205-1874
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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 | 42512
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License Number State | FL
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