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General NPI Number Information
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NPI Number | 1144985953
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Entity Type | Individual
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Provider Name | MARGARET A TEDESCHI
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Gender | Female
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 1705 JESS PARRISH CT
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City | TITUSVILLE
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State | FL
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Zip | 32796-2158
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Country | US
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Telephone | 321-269-5720
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Fax | 321-383-9514
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | OAK HILL
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State | FL
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Zip | 32759-0119
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Country | US
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Telephone | 386-314-3246
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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 | PTA20086
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License Number State | FL
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