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General NPI Number Information
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NPI Number | 1609082205
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Entity Type | Individual
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Provider Name | SUZANNE O'NEAL PT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 430 MORTON PLANT ST STE. 101
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City | CLEARWATER
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State | FL
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Zip | 33756-3398
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Country | US
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Telephone | 727-461-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 360 N BAYSHORE BLVD #108
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City | CLEARWATER
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State | FL
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Zip | 33759-3855
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Country | US
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Telephone | 727-254-8579
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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 | PT22938
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License Number State | FL
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