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General NPI Number Information
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NPI Number | 1548645666
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Entity Type | Individual
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Provider Name | STEVEN BALOGH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 91 ALAFAYA WOODS BLVD
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City | OVIEDO
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State | FL
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Zip | 32765-6235
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Country | US
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Telephone | 407-698-5558
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Fax | 305-787-3662
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Provider Business Mailing Address
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Address Line | 801 N ORANGE AVE #610
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City | ORLANDO
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State | FL
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Zip | 32801-1026
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT30438
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License Number State | FL
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