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General NPI Number Information
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NPI Number | 1275652406
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Entity Type | Individual
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Provider Name | ALLAN ANEMAET P.T.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1244 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3720
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Country | US
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Telephone | 727-939-3015
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Fax | 727-943-7013
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Provider Business Mailing Address
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Address Line | 11610 116TH ST
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City | LARGO
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State | FL
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Zip | 33778-3035
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Country | US
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Telephone | 727-391-9157
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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 | PT19062
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License Number State | FL
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