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General NPI Number Information
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NPI Number | 1104308832
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Entity Type | Individual
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Provider Name | MARY BELL CHOIS PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 401 E LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5028
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Country | US
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Telephone | 561-272-7979
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 VENTURA DR
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8381
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Country | US
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Telephone | 561-674-2306
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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 | 19510
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License Number State | FL
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