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General NPI Number Information
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NPI Number | 1497946842
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Entity Type | Individual
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Provider Name | JODI LYNN EPSTEIN MPT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 01/17/2015
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Provider Practice Location Address
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Address Line | 8333 W MCNAB RD #223
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City | TAMARAC
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State | FL
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Zip | 33321-3242
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Country | US
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Telephone | 561-860-2592
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Fax | 561-404-0133
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Provider Business Mailing Address
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Address Line | 8333 W MCNAB RD #223
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City | TAMARAC
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State | FL
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Zip | 33321-3242
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Country | US
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Telephone | 561-860-2592
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Fax | 561-404-0133
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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 | PT19200
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License Number State | FL
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