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General NPI Number Information
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NPI Number | 1487015509
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Entity Type | Organization
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Legal Business Name | PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 15682 CYPRESS PARK DR
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City | WELLINGTON
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State | FL
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Zip | 33414-6356
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Country | US
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Telephone | 561-676-1041
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Fax | 561-370-7034
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Provider Business Mailing Address
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Address Line | 15682 CYPRESS PARK DR
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City | WELLINGTON
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State | FL
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Zip | 33414-6356
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Country | US
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Telephone | 561-676-1041
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Fax | 561-370-7034
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN M. RIOLINO
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Credential |
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Telephone | 561-676-1041
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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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