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General NPI Number Information
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NPI Number | 1477708063
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Entity Type | Organization
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Legal Business Name | ONE TO ONE PHYSICAL THERAPY & AQUATICS
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 9970 CENTRAL PARK BLVD N STE 300
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City | BOCA RATON
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State | FL
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Zip | 33428-2231
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Country | US
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Telephone | 561-939-2033
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Fax | 561-939-2037
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Provider Business Mailing Address
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Address Line | 9970 CENTRAL PARK BLVD N STE 300
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City | BOCA RATON
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State | FL
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Zip | 33428-2231
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Country | US
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Telephone | 561-939-2033
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Fax | 561-939-2037
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Authorized Official
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Title or Position | CEO
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Name | DANIEL ERIC SAGE
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Credential | MPT
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Telephone | 561-496-5144
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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 |
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License Number State |
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