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General NPI Number Information
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NPI Number | 1255720660
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Entity Type | Organization
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Legal Business Name | NEW DAY WELLNESS, LLC
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 1315 NW 21ST AVE SUITE 3
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City | CHIEFLAND
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State | FL
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Zip | 32626-1977
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Country | US
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Telephone | 352-493-2999
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Fax | 352-493-0026
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Provider Business Mailing Address
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Address Line | 7701 SW 56TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32608-4406
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Country | US
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Telephone | 352-493-2999
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Fax | 352-493-0026
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Authorized Official
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Title or Position | OWNER
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Name | BRUCE SACK
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Credential | PT
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Telephone | 352-493-2999
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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 | PT2095
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT4102
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT2449
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number | OT4234
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | OT4234
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | OT4234
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT4234
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT4234
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License Number State | FL
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