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General NPI Number Information
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NPI Number | 1497265771
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Entity Type | Individual
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Provider Name | GABRIELLA PASOS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 30534 STATE ROAD 54
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6005
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Country | US
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Telephone | 407-949-7119
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Fax |
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Provider Business Mailing Address
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Address Line | 27402 BONTERRA LOOP APT 401
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-5165
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT5153
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT34109
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License Number State | FL
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