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General NPI Number Information
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NPI Number | 1104793819
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY ASSOCIATES OF ORANGE PARK, INC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 280 DUNDAS DR STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32218-5517
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Country | US
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Telephone | 904-420-0110
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Fax | 904-420-0120
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Provider Business Mailing Address
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Address Line | 1845 EASTWEST PKWY STE 14
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-6408
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Country | US
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Telephone | 904-264-6304
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Fax | 904-264-6305
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HEMANT DASHARATHLAL PATEL
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Credential |
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Telephone | 904-824-1636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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