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General NPI Number Information
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NPI Number | 1366333585
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Entity Type | Individual
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Provider Name | REBECCA SULLIVAN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 801 S OLIVE AVE STE 106
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6127
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Country | US
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Telephone | 561-461-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 SE FEDERAL HWY APT 3101
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City | STUART
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State | FL
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Zip | 34997-5771
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Country | US
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Telephone | 615-426-5742
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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 |
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License Number State | FL
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