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General NPI Number Information
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NPI Number | 1447882139
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Entity Type | Individual
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Provider Name | JILL MARIE BAXTER PTA
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 1219 DUNN AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2405
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Country | US
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Telephone | 386-255-4568
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Fax |
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Provider Business Mailing Address
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Address Line | 912 ASHMEADE CT
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City | PORT ORANGE
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State | FL
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Zip | 32127-7943
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 29658
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License Number State | FL
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