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General NPI Number Information
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NPI Number | 1578885711
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Entity Type | Individual
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Provider Name | DAMARIS PEREZ KOPSICK P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 8500 W SUNRISE BLVD APT. # 316
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City | PLANTATION
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State | FL
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Zip | 33322-4017
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Country | US
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Telephone | 954-472-2890
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Fax | 954-472-2895
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Provider Business Mailing Address
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Address Line | 4016 GRANT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5337
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Country | US
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Telephone | 954-894-5211
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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 | 7080
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License Number State | FL
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