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General NPI Number Information
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NPI Number | 1548411226
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Entity Type | Individual
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Provider Name | KRISTEN L CORSI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 04/10/2011
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Provider Practice Location Address
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Address Line | 1706 E SEMORAN BLVD #107
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City | APOPKA
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State | FL
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Zip | 32703-5651
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Country | US
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Telephone | 407-880-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 SUMMIT CENTRE WAY APT 205
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City | ORLANDO
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State | FL
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Zip | 32810-5971
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Country | US
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Telephone | 614-946-2368
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT012250
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT24533
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License Number State | FL
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