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General NPI Number Information
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NPI Number | 1497801799
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Entity Type | Individual
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Provider Name | GINA MARIA MUSOLINO PT, DPT, MSED, EDD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | PO BOX 140103
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City | GAINESVILLE
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State | FL
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Zip | 32614-0103
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Country | US
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Telephone | 801-259-7007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 140103
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City | GAINESVILLE
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State | FL
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Zip | 32614-0103
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Country | US
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Telephone | 801-259-7007
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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 | 51357272401
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License Number State | UT
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7935
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-005373
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License Number State | IL
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