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General NPI Number Information
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NPI Number | 1144837022
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Entity Type | Organization
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Legal Business Name | PROGRESS THERAPY SERVICE INC.
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 7190 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-5935
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Country | US
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Telephone | 727-614-2647
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Fax | 813-830-7491
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Provider Business Mailing Address
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Address Line | 8000 SMOKETREE CIR
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City | LARGO
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State | FL
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Zip | 33773-1665
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Country | US
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Telephone | 727-614-2647
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Fax | 813-830-7491
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Authorized Official
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Title or Position | OWNER
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Name | RAFAEL EMILIO ALVAREZ
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Credential | BCBA
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Telephone | 727-614-2647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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