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General NPI Number Information
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NPI Number | 1285931469
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Entity Type | Individual
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Provider Name | LAURIE JOI SCHEER BERGER MPT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 151 SAWGRASS CORNERS DR STE. 117
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-3553
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Country | US
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Telephone | 904-371-4649
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Fax | 888-393-1099
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Provider Business Mailing Address
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Address Line | 116 CRAPE MYRTLE DR
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-4609
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Country | US
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Telephone | 904-543-0614
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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 | PT9200
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License Number State | FL
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