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General NPI Number Information
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NPI Number | 1508134586
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Entity Type | Organization
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Legal Business Name | RICK HAUPT PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 2999 S TAMIAMI TRL SUITE 2
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City | SARASOTA
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State | FL
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Zip | 34239-5106
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Country | US
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Telephone | 941-955-1239
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Fax |
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Provider Business Mailing Address
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Address Line | 874 HILLCREST DR
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City | NOKOMIS
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State | FL
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Zip | 34275-2374
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Country | US
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Telephone | 941-356-4355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD H HAUPT
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Credential | MPT
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Telephone | 941-356-4355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT18994
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License Number State | FL
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