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General NPI Number Information
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NPI Number | 1578656617
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Entity Type | Individual
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Provider Name | REBECCA LYNN OVERDORF PT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 2830 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-7115
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Country | US
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Telephone | 941-927-1234
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Fax | 941-921-0043
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Provider Business Mailing Address
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Address Line | 5563 BRIARCLIFF DR
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City | SARASOTA
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State | FL
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Zip | 34232-5801
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Country | US
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Telephone | 941-928-2447
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Fax | 941-921-0043
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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 | PT19182
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License Number State | FL
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