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General NPI Number Information
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NPI Number | 1518156694
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Entity Type | Organization
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Legal Business Name | A HEALTHY APPROACH INDIVIDUALIZED PHYSICAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 1800 S TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34239-3112
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Country | US
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Telephone | 941-953-4202
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Fax | 941-953-4239
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Provider Business Mailing Address
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Address Line | 1800 S TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34239-3112
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Country | US
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Telephone | 941-953-4202
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Fax | 941-953-4239
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Authorized Official
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Title or Position | OWNER
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Name | MISS HARRIET VAN ELBURG
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Credential | PHYSICAL THERAPIST
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Telephone | 941-953-4202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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