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General NPI Number Information
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NPI Number | 1306570445
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Entity Type | Individual
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Provider Name | JESSYE LILIAN LAMAR ALZATE DPT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 9900 STIRLING RD SUITE 303
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City | COOPER CITY
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-432-8872
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 CROSSBILL CT
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City | WESTON
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State | FL
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Zip | 33327
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Country | US
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Telephone | 954-397-4624
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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 | PT38316
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License Number State | FL
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