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General NPI Number Information
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NPI Number | 1518028588
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Entity Type | Individual
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Provider Name | HEATHER FLOYD CARRAWAY DPT
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 2245 PLANTATION CENTER DR SUITE 57
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3352
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Country | US
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Telephone | 904-374-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 7696 ENDERBY AVE E
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City | JACKSONVILLE
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State | FL
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Zip | 32244-4924
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Country | US
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Telephone | 904-412-7478
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT23307
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT23307
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License Number State | FL
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