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General NPI Number Information
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NPI Number | 1184632192
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Entity Type | Individual
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Provider Name | JAMES CARL ABROMAITIS RPT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 13355 TAMIAMI TRL
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City | NORTH PORT
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State | FL
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Zip | 34287-2186
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Country | US
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Telephone | 941-426-1235
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Fax | 941-426-4464
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Provider Business Mailing Address
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Address Line | 13355 TAMIAMI TRL UNIT E
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City | NORTH PORT
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State | FL
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Zip | 34287-2186
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Country | US
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Telephone | 941-426-1235
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Fax | 941-426-4464
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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 | PT29942
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License Number State | FL
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