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General NPI Number Information
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NPI Number | 1508478264
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Entity Type | Organization
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Legal Business Name | THEMOBILEPT PLLC
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Dates
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Enumeration Date | 08/23/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 701 E STATE ROAD 434 STE 1061
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2701
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Country | US
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Telephone | 407-452-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 14948 INDIGO LAKE DR
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City | ORLANDO
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State | FL
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Zip | 32824-4919
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Country | US
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Telephone | 407-452-4027
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ANTONY GIRGIS
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Credential | DPT
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Telephone | 407-452-4027
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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 |
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License Number State |
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