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General NPI Number Information
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NPI Number | 1205007101
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Entity Type | Individual
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Provider Name | SHEILA MAE SELOTERIO LEGASPI PT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 5381 DESOTO RD
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City | SARASOTA
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State | FL
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Zip | 34235-2618
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Country | US
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Telephone | 941-355-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 4933 BREAKWATER DR
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City | BRADENTON
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State | FL
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Zip | 34203-3104
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Country | US
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Telephone | 850-247-9142
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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 | 23859
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License Number State | FL
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