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General NPI Number Information
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NPI Number | 1235864224
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Entity Type | Individual
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Provider Name | MARIA VANCUYK DPT
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Gender | Female
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 2002 RICHARD JONES RD STE 210A
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City | NASHVILLE
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State | TN
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Zip | 37215-2809
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Country | US
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Telephone | 615-383-0338
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Fax | 615-383-1484
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Provider Business Mailing Address
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Address Line | 12 DUNE SIDE LN
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-5167
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Country | US
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Telephone | 814-329-0887
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 43759
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14127
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT43759
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License Number State | FL
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