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General NPI Number Information
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NPI Number | 1427140094
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Entity Type | Organization
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Legal Business Name | SPHINX WELLNESS INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 10935 SE 177TH PL SUITE 406
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8975
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Country | US
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Telephone | 352-307-6843
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Fax | 352-307-9308
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Provider Business Mailing Address
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Address Line | PO BOX 1568
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City | LADY LAKE
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State | FL
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Zip | 32158-1568
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Country | US
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Telephone | 352-307-6843
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Fax | 352-307-9308
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ONSI N DERIAS
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Credential | PT
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Telephone | 352-307-6843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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