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General NPI Number Information
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NPI Number | 1235310814
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Entity Type | Organization
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Legal Business Name | SW PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 5715 CANTOR AVE
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City | NORTH PORT
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State | FL
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Zip | 34291-5620
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Country | US
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Telephone | 941-240-6251
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Fax | 941-240-6251
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Provider Business Mailing Address
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Address Line | 5715 CANTOR AVE
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City | NORTH PORT
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State | FL
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Zip | 34291-5620
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Country | US
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Telephone | 941-240-6251
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Fax | 941-240-6251
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. MICHAEL FRANZ STIWICH
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Credential | P.T.
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Telephone | 941-240-6251
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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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