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General NPI Number Information
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NPI Number | 1487809679
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Entity Type | Individual
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Provider Name | JANELLE COLLEEN CLARKIN P.T., D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 9020 WILLOWBROOK CIR
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City | BRADENTON
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State | FL
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Zip | 34212-6332
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Country | US
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Telephone | 315-794-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 9020 WILLOWBROOK CIR
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City | BRADENTON
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State | FL
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Zip | 34212-6332
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Country | US
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Telephone | 941-405-9690
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Fax | 941-749-7610
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24671
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License Number State | FL
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