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General NPI Number Information
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NPI Number | 1497675417
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Entity Type | Individual
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Provider Name | ADRIENNE ISABELLE PERALTA PTA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 9145 NARCOOSSEE RD STE A204
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City | ORLANDO
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State | FL
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Zip | 32827-5768
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Country | US
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Telephone | 407-273-1714
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Fax |
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Provider Business Mailing Address
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Address Line | 2728 DADE AVE APT 2205
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City | ORLANDO
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State | FL
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Zip | 32804-4692
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA34918
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License Number State | FL
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