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General NPI Number Information
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NPI Number | 1124239165
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Entity Type | Individual
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Provider Name | MARGARET A ENSTROM PTA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 2155 W MUSTANG BLVD MID FLORIDA THERAPY, INC.
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3520
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Country | US
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Telephone | 352-527-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 3107 SE BADGER RD
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City | BRANFORD
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State | FL
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Zip | 32008-5125
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 19677
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5226
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License Number State | OH
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