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General NPI Number Information
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NPI Number | 1427482751
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Entity Type | Organization
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Legal Business Name | ULTIMATE ANGELS PHYSICAL THERAPY, LLC.
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 129 NW 13TH ST SUITE 30
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City | BOCA RATON
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State | FL
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Zip | 33432-1634
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Country | US
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Telephone | 954-594-9070
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Fax | 877-308-9742
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Provider Business Mailing Address
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Address Line | 129 NW 13TH ST SUITE 30
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City | BOCA RATON
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State | FL
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Zip | 33432-1634
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Country | US
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Telephone | 954-594-9070
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Fax | 877-308-9742
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Authorized Official
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Title or Position | OWNER
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Name | ALANA HERNANDEZ
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Credential |
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Telephone | 954-594-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 4404
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License Number State | FL
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