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General NPI Number Information
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NPI Number | 1518034792
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Entity Type | Individual
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Provider Name | MICHELLE LEE KRABS PT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 7731 SUNDEW DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-7558
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Country | US
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Telephone | 954-461-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 5074 W LAKES DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-0934
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Country | US
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Telephone | 954-420-0879
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0013761
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License Number State | FL
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