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General NPI Number Information
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NPI Number | 1386007656
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Entity Type | Individual
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Provider Name | VLADIMYR JEAN-PIERRE
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Gender | Male
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Dates
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Enumeration Date | 04/03/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 5521 LEJEUNE DR
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City | ORLANDO
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State | FL
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Zip | 32808-2438
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Country | US
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Telephone | 407-429-1523
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Fax |
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Provider Business Mailing Address
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Address Line | 1868 HIGHLAND OAKS BLVD STE B
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City | LUTZ
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State | FL
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Zip | 33559-7413
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Country | US
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Telephone | 407-429-1523
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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 | PT30752
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License Number State | FL
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