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NPI 1386052694

NPI 1386052694 : KORTNEE SINDEL P.T. : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1386052694
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    Entity Type          |    Individual 
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    Provider Name        |    KORTNEE SINDEL P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/30/2014
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    Last Update Date     |    07/11/2017
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Provider Practice Location Address
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    Address Line         |    5677 PACIFIC BLVD APT 2404 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-6738
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    Country              |    US
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    Telephone            |    402-450-6689
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18982 CLOUD LAKE CIRCLE 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33496
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    Country              |    US
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    Telephone            |    402-450-6689
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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       |    PT29278
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    License Number State |    FL
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