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General NPI Number Information
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NPI Number | 1568970242
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Entity Type | Organization
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Legal Business Name | CARE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2013 LIVE OAK BLVD STE G
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8410
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Country | US
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Telephone | 407-233-7854
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Fax | 866-596-4175
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Provider Business Mailing Address
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Address Line | 2846 SPRING BREEZE WAY
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City | KISSIMMEE
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State | FL
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Zip | 34744-9268
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Country | US
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Telephone | 407-233-7854
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Fax | 866-596-4175
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Authorized Official
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Title or Position | MANAGER
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Name | SAID ELREBEY
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Credential | RPT-DPT
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Telephone | 407-233-7854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT12701
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License Number State | FL
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