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General NPI Number Information
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NPI Number | 1174278923
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Entity Type | Individual
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Provider Name | ALYSE HAUSMAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3901 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4312
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Country | US
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Telephone | 904-345-7251
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Fax |
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Provider Business Mailing Address
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Address Line | 5233 HEATHWOOD GABLE TER
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City | JACKSONVILLE
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State | FL
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Zip | 32257-3779
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Country | US
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Telephone | 561-847-5740
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-2025-0022
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT-2025-0022
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT37330
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License Number State | FL
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Taxonomy #4
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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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