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General NPI Number Information
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NPI Number | 1578199105
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Entity Type | Individual
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Provider Name | ANTONY MORATA DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 5540 E GRANT ST STE C
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City | ORLANDO
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State | FL
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Zip | 32822-1668
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Country | US
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Telephone | 407-823-8550
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Fax | 407-823-8545
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Provider Business Mailing Address
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Address Line | 100 E 2ND AVE STE 210
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City | ROME
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State | GA
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Zip | 30161-1718
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Country | US
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Telephone | 407-823-8550
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Fax | 407-823-8545
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42501
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License Number State | FL
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