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NPI 1437493301

NPI 1437493301 : FELICIA YVETTE FREEMAN PHYSICAL THERAPIST : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1437493301
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    Entity Type          |    Individual 
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    Provider Name        |    FELICIA YVETTE FREEMAN PHYSICAL THERAPIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/16/2012
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    Last Update Date     |    03/25/2023
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Provider Practice Location Address
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    Address Line         |    1541 SUNSET DR STE 205 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33143-5777
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    Country              |    US
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    Telephone            |    786-809-1390
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    Fax                  |    786-809-1391
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Provider Business Mailing Address
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    Address Line         |    1541 SUNSET DR STE 205 
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33143-5777
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    Country              |    US
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    Telephone            |    305-283-0832
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    Fax                  |    305-378-0949
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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       |    PT0004468
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    License Number State |    FL
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