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General NPI Number Information
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NPI Number | 1417864125
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Entity Type | Individual
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Provider Name | NICOLE KAREN LONGMAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 6150 MEDICAL PARK LOOP
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City | FORT MYERS
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State | FL
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Zip | 33912-4537
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Country | US
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Telephone | 239-722-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 16928 SAGE TER
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City | BABCOCK RANCH
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State | FL
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Zip | 33982-5387
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Country | US
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Telephone | 862-354-7253
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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 | PT45237
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License Number State | FL
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