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General NPI Number Information
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NPI Number | 1245340017
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Entity Type | Organization
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Legal Business Name | OP THERAPY FL INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8132 HUDSON AVE TANDEM HEALTH CARE OF BAYONET POINT INC
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City | HUDSON
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State | FL
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Zip | 34667-8571
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Country | US
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Telephone | 727-863-3100
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Fax | 727-862-8913
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Provider Business Mailing Address
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Address Line | 2111 GLENWOOD DR SUITE 202
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City | WINTER PARK
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State | FL
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Zip | 32792-3328
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Country | US
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Telephone | 407-644-9065
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Fax | 407-628-2792
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | JOSEPH D CONTE
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Credential |
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Telephone | 407-571-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF10140961
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License Number State | FL
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