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General NPI Number Information
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NPI Number | 1467576074
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Entity Type | Individual
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Provider Name | JOANNE G SINCLAIR PTA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 414 CHAPMAN RD E
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City | LUTZ
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State | FL
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Zip | 33549-5779
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Country | US
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Telephone | 813-948-0612
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Fax | 813-909-2872
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Provider Business Mailing Address
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Address Line | 5930 PHOEBENEST DR
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City | LITHIA
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State | FL
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Zip | 33547-1786
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Country | US
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Telephone | 813-571-0831
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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 | PTA 19293
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License Number State | FL
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