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General NPI Number Information
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NPI Number | 1245684349
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Entity Type | Individual
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Provider Name | CANDICE BERENGUER
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Gender | Female
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 421 SE OSCEOLA ST STE C
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City | STUART
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State | FL
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Zip | 34994-2505
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Country | US
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Telephone | 772-283-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 7726 SE MAMMOTH DR
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City | HOBE SOUND
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State | FL
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Zip | 33455-7895
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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