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General NPI Number Information
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NPI Number | 1528219342
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SOLUTIONS NEFL, INC.
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 8833 PERIMETER PARK BLVD SUITE 904
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1109
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Country | US
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Telephone | 904-928-3303
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Fax | 904-928-3343
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Provider Business Mailing Address
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Address Line | 4480 DEERWOOD LAKE PKWY #144
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2247
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Country | US
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Telephone | 904-928-3303
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Fax | 904-928-3343
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Authorized Official
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Title or Position | TREASURER
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Name | MS. SHIRLEY DIANE GLASGOW
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Credential |
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Telephone | 904-928-3303
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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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