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General NPI Number Information
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NPI Number | 1306365085
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Entity Type | Organization
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Legal Business Name | FIRST STEP PHYSICAL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 09/14/2017
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Provider Practice Location Address
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Address Line | 6008 NW RELIEF CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-3315
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Country | US
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Telephone | 772-323-8597
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Fax |
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Provider Business Mailing Address
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Address Line | 6008 NW RELIEF CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-3315
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERI GUERCIO
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Credential | PT, DPT
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Telephone | 772-323-8597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT24238
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License Number State | FL
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