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General NPI Number Information
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NPI Number | 1609380252
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Entity Type | Individual
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Provider Name | CELISE NICHOLE DRAWDY PTA
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Gender | Female
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Dates
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Enumeration Date | 11/18/2017
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Last Update Date | 11/18/2017
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Provider Practice Location Address
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Address Line | 3101 GINGER DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4437
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Country | US
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Telephone | 850-877-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SUGAR PLUM DR
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City | PALATKA
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State | FL
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Zip | 32177-7363
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Country | US
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Telephone | 229-869-9609
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 28051
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License Number State | FL
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