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General NPI Number Information
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NPI Number | 1295976868
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Entity Type | Organization
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Legal Business Name | BILINGUAL PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 45 SYCAMORE AVE APT.1728
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City | CHARLESTON
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State | SC
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Zip | 29407-6710
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Country | US
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Telephone | 854-437-4522
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Fax | 843-793-2400
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Provider Business Mailing Address
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Address Line | 45 SYCAMORE AVE APT.1728
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City | CHARLESTON
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State | SC
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Zip | 29407-6710
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Country | US
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Telephone | 854-437-4522
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Fax | 843-793-2400
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KARONA OCASIO
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Credential | MSPT
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Telephone | 843-437-4522
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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 | 5590
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License Number State | SC
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