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General NPI Number Information
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NPI Number | 1508276361
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Entity Type | Organization
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Legal Business Name | WEST THERAPY SERVICE INC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 119 FINCH CT
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1707
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Country | US
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Telephone | 561-281-2431
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Fax |
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Provider Business Mailing Address
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Address Line | 119 FINCH CT
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1707
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Country | US
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Telephone | 561-281-2431
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | DR. BRANDEN D WEST
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Credential | DPT
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Telephone | 561-281-2431
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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 | PT28170
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License Number State | FL
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