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General NPI Number Information
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NPI Number | 1528248077
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Entity Type | Organization
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Legal Business Name | ALL ABOUT THERAPY SERVICES INC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 501 E SUGARLAND HWY
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City | CLEWISTON
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State | FL
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Zip | 33440-3210
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Country | US
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Telephone | 863-983-9979
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Fax | 863-983-5655
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Provider Business Mailing Address
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Address Line | 501 E SUGARLAND HWY
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City | CLEWISTON
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State | FL
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Zip | 33440-3210
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Country | US
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Telephone | 863-983-9979
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Fax | 863-983-5655
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Authorized Official
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Title or Position | TREASURER
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Name | MR. GARY NEIL VITERBO SUAREZ
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Credential | PT
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Telephone | 863-599-1880
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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 | PT20447
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License Number State | FL
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