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General NPI Number Information
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NPI Number | 1568098135
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Entity Type | Individual
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Provider Name | MICHELLE GRAY PT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 730 COURTLAND ST
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City | ORLANDO
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State | FL
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Zip | 32804-1316
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Country | US
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Telephone | 407-415-2183
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Fax |
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Provider Business Mailing Address
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Address Line | 32416 PINE RD
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City | EUSTIS
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State | FL
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Zip | 32736-9189
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Country | US
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Telephone | 407-415-2183
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT19800
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License Number State | FL
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