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General NPI Number Information
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NPI Number | 1184965915
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Entity Type | Organization
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Legal Business Name | TOTAL MEDICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 1877 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1401
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Country | US
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Telephone | 954-427-6411
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Fax | 954-427-9981
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Provider Business Mailing Address
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Address Line | 1877 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1401
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Country | US
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Telephone | 954-427-6411
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Fax | 954-427-9981
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARY WEINSTEIN
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Credential |
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Telephone | 954-427-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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