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General NPI Number Information
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NPI Number | 1538384136
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Entity Type | Organization
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Legal Business Name | PARKWAY PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 600 W NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748-5063
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Country | US
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Telephone | 352-787-9300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 491654
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City | LEESBURG
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State | FL
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Zip | 34749-1654
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Country | US
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Telephone | 352-787-9300
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. GERALD GOLDSTEIN
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Credential |
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Telephone | 352-787-9300
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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 | FL
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