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General NPI Number Information
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NPI Number | 1588432785
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Entity Type | Organization
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Legal Business Name | ALLIED THERAPY
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 7014 ORINOCO RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6348
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Country | US
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Telephone | 727-277-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 7014 ORINOCO RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6348
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MBR AND OWNER
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Name | DR. MATTHEW R ROMAIN
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Credential | DPT
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Telephone | 727-277-6550
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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 |
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License Number State |
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