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General NPI Number Information
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NPI Number | 1538611785
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Entity Type | Organization
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Legal Business Name | STRIVE HEALTHCARE LLC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 165 SILVER LN
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-3922
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Country | US
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Telephone | 904-930-4351
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Fax | 904-212-0097
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Provider Business Mailing Address
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Address Line | 1093 A1A, BEACH BLVD PMB 261
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-6733
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Country | US
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Telephone | 904-501-5031
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Fax | 904-824-2226
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Authorized Official
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Title or Position | OWNER
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Name | LAURA HEMELT
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Credential | DPT
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Telephone | 904-501-5031
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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 | PT20976
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License Number State | FL
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