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General NPI Number Information
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NPI Number | 1265527436
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Entity Type | Organization
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Legal Business Name | SELECT THERAPY AND REHABILITATION SERVICES
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8010 N UNIVERSITY DR FIRST FLOOR
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City | TAMARAC
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State | FL
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Zip | 33321
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Country | US
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Telephone | 954-724-5500
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Fax | 954-724-5131
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Provider Business Mailing Address
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Address Line | 8010 N UNIVERSITY DR FIRST FLOOR
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City | TAMARAC
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State | FL
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Zip | 33321
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Country | US
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Telephone | 954-724-5500
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Fax | 954-724-5131
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEIGH BUCHALTER
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Credential | PT
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Telephone | 954-724-5500
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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 | PT0005582
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License Number State | FL
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