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General NPI Number Information
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NPI Number | 1457561326
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Entity Type | Organization
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Legal Business Name | THERAFIT LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2677 S TAMIAMI TRL SUITE #5
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City | SARASOTA
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State | FL
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Zip | 34239-4500
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Country | US
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Telephone | 941-955-2426
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Fax | 866-545-7882
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Provider Business Mailing Address
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Address Line | 2677 S TAMIAMI TRL SUITE #5
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City | SARASOTA
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State | FL
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Zip | 34239-4500
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Country | US
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Telephone | 941-955-2426
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. KIMBERLY KENNEDY
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Credential | MPT
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Telephone | 941-955-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT17515
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License Number State | FL
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