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General NPI Number Information
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NPI Number | 1548448491
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Entity Type | Individual
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Provider Name | LAURA ANN WOZNIAK RPT
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Gender | Female
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Dates
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Enumeration Date | 02/02/2008
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Last Update Date | 02/02/2008
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Provider Practice Location Address
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Address Line | 770 KEENELAND PIKE
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City | LAKE MARY
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State | FL
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Zip | 32746-3951
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Country | US
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Telephone | 866-650-7150
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Fax | 866-650-7150
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Provider Business Mailing Address
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Address Line | 12543 WINFIELD SCOTT BLVD
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City | ORLANDO
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State | FL
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Zip | 32837-5095
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Country | US
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Telephone | 321-436-3751
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Fax | 321-206-0767
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0009946
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License Number State | FL
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