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General NPI Number Information
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NPI Number | 1518309772
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Entity Type | Organization
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Legal Business Name | SYMMETRY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 28 W FLAGLER ST STE 901
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City | MIAMI
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State | FL
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Zip | 33130-1894
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Country | US
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Telephone | 815-814-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 3590 CORAL WAY APT 707
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City | MIAMI
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State | FL
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Zip | 33145-3076
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Country | US
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Telephone | 815-814-8444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATALIA SOPHIA SIKACZOWSKI
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Credential | DPT
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Telephone | 815-814-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | FL
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Taxonomy #2
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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 | FL
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