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General NPI Number Information
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NPI Number | 1386227080
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Entity Type | Organization
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Legal Business Name | DIGITAL PHYSICAL THERAPY EXPERTS, LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 10205 TAVISTOCK RD
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City | ORLANDO
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State | FL
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Zip | 32827-7054
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Country | US
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Telephone | 216-502-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 6555 SANGER RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32827-7585
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | REUBEN GOBEZIE
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Credential | MD
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Telephone | 216-502-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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