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General NPI Number Information
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NPI Number | 1265704399
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Entity Type | Individual
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Provider Name | MARIA GATTORNO P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 1417 N SEMORAN BLVD SUITE 106
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City | ORLANDO
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State | FL
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Zip | 32807
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Country | US
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Telephone | 407-282-5809
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Fax |
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Provider Business Mailing Address
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Address Line | 5665 SYCAMORE CANYON DRIVE
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City | KISSIMMEE
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State | FL
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Zip | 34758
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Country | US
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Telephone | 407-864-8252
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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 24678
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License Number State | FL
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