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General NPI Number Information
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NPI Number | 1548425374
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Entity Type | Individual
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Provider Name | PATRICIA TRAMA
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Gender | Female
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 2245 PLANTATION CENTER DR SUITE 57
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3352
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Country | US
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Telephone | 904-374-1414
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Fax | 877-736-3470
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Provider Business Mailing Address
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Address Line | 2245 PLANTATION CENTER DR SUITE 57
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3352
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Country | US
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Telephone | 904-374-1414
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Fax | 877-736-3470
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT3832
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License Number State | FL
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