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General NPI Number Information
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NPI Number | 1265653851
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Entity Type | Individual
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Provider Name | LAURA HOEY DURBANO PT
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 N WEST BLVD SUITE D
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-787-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 5086 CR 125
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City | WILDWOOD
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State | FL
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Zip | 34785
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 21537
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License Number State | FL
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