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General NPI Number Information
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NPI Number | 1174234553
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Entity Type | Organization
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Legal Business Name | HERCULES PERFORMANCE AND PHYSICAL THERAPY, LLC.
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 333 17TH ST STE R
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City | VERO BEACH
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State | FL
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Zip | 32960-5687
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Country | US
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Telephone | 954-226-0027
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Fax |
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Provider Business Mailing Address
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Address Line | 927 SANDPIPER LN
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City | VERO BEACH
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State | FL
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Zip | 32963-2225
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Country | US
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Telephone | 954-226-0027
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEC SPANO
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Credential | DPT, PT, CSCS
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Telephone | 954-226-0027
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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 |
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License Number State |
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