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General NPI Number Information
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NPI Number | 1134674575
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Entity Type | Organization
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Legal Business Name | WEST BAY THERAPY
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 118 W BAY DR SUITE 111
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City | LARGO
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State | FL
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Zip | 33770-3362
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Country | US
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Telephone | 727-585-3000
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Fax | 727-585-3001
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Provider Business Mailing Address
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Address Line | 118 W BAY DR SUITE 111
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City | LARGO
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State | FL
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Zip | 33770-3362
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Country | US
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Telephone | 727-585-3000
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Fax | 727-585-3001
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Authorized Official
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Title or Position | AMBR
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Name | THOMAS ROSSEWEY
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Credential |
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Telephone | 727-585-3000
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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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