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General NPI Number Information
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NPI Number | 1265875280
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Entity Type | Organization
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Legal Business Name | DOCTOR TO YOU
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 3915 8TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1701
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Country | US
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Telephone | 941-747-7741
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Fax | 941-747-1431
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Provider Business Mailing Address
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Address Line | 3915 8TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1701
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Country | US
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Telephone | 941-747-7741
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Fax | 941-747-1431
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Authorized Official
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Title or Position | V.P.
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Name | SARAH LABRECQUE
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Credential | PT
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Telephone | 941-737-2426
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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 | PT8636
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License Number State | FL
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