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General NPI Number Information
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NPI Number | 1326247800
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Entity Type | Organization
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Legal Business Name | THERAPEUTIX REHAB & EQUIPMENT SERVICES, INC.
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 37 S MAIN ST
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City | WILLISTON
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State | FL
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Zip | 32696-2653
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Country | US
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Telephone | 352-629-9007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 771028
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City | OCALA
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State | FL
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Zip | 34477-1028
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Country | US
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Telephone | 352-629-9007
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. ELIZABETH MASIERO
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Credential |
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Telephone | 352-629-9007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT4639
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License Number State | FL
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