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General NPI Number Information
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NPI Number | 1477231595
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 2840 E OAKLAND PARK BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1814
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Country | US
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Telephone | 954-565-0075
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Fax | 954-565-0085
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Provider Business Mailing Address
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Address Line | 5975 N FEDERAL HWY STE 244
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2652
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Country | US
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Telephone | 954-610-2253
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Fax | 954-633-7027
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ERIK A BLEEKER
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Credential | PT
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Telephone | 954-610-2253
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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 |
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License Number State |
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