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General NPI Number Information
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NPI Number | 1518028802
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Entity Type | Individual
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Provider Name | UDUAK EKPO MSPT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1731 NE 172 STREET
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162
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Country | US
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Telephone | 954-895-9291
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Fax | 305-249-5477
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Provider Business Mailing Address
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Address Line | 1731 NE 172ND ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1533
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Country | US
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Telephone | 954-895-9291
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Fax | 305-249-5477
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21486
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License Number State | FL
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