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General NPI Number Information
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NPI Number | 1558555920
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Entity Type | Individual
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Provider Name | JACKIE RIGHETTI LPT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 101 OVERLOOK DR
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3381
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Country | US
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Telephone | 412-600-4526
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Fax |
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Provider Business Mailing Address
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Address Line | 907 HICKORY HILL DR
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City | LAKELAND
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State | FL
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Zip | 33815-4151
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Country | US
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Telephone | 412-600-4526
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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 | PT005229L
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License Number State | PA
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