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General NPI Number Information
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NPI Number | 1407670235
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Entity Type | Organization
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Legal Business Name | IN-DEPTH CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 331 N MAITLAND AVE STE B4
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City | MAITLAND
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State | FL
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Zip | 32751-4753
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Country | US
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Telephone | 407-308-1269
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Fax |
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Provider Business Mailing Address
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Address Line | 1866 STONEHILL CV
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City | LAKE MARY
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State | FL
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Zip | 32746-6242
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Country | US
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Telephone | 407-308-1269
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHEN-HSI HSIAO
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Credential | DPT
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Telephone | 407-308-1269
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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 |
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