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General NPI Number Information
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NPI Number | 1518840727
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Entity Type | Individual
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Provider Name | JOY SHIRLEY LANDIS PT
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1333 SANTA BARBARA BLVD
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City | CAPE CORAL
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State | FL
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Zip | 33991-2803
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Country | US
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Telephone | 239-772-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 SE 20TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33990-3107
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Country | US
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Telephone | 260-417-1246
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT24291
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License Number State | FL
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