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General NPI Number Information
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NPI Number | 1164831483
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Entity Type | Individual
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Provider Name | FITZHERBERT R HARRY JR. DPT
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Gender | Male
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 2767 GROTTO PL
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City | OVIEDO
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State | FL
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Zip | 32765-6851
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Country | US
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Telephone | 407-663-7013
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Fax | 855-899-5438
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Provider Business Mailing Address
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Address Line | 2767 GROTTO PL
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City | OVIEDO
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State | FL
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Zip | 32765-6851
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Country | US
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Telephone | 407-663-7013
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Fax | 855-899-5438
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208888
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 199
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License Number State | VI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30848
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License Number State | FL
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