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General NPI Number Information
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NPI Number | 1508003567
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Entity Type | Individual
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Provider Name | CASEY VAUGHN EBERLE DPT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 801 WOODBURY RD STE 103104
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City | ORLANDO
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State | FL
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Zip | 32828-4514
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Country | US
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Telephone | 407-373-6082
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Fax | 407-373-6083
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Provider Business Mailing Address
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Address Line | 12163 WATER POPPY CT
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City | ORLANDO
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State | FL
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Zip | 32828-5570
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Country | US
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Telephone | 904-859-0478
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Fax | 407-373-6083
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 24520
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License Number State | FL
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