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General NPI Number Information
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NPI Number | 1609951524
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Entity Type | Organization
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Legal Business Name | ATLANTIC PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 736 ARTHUR GODFREY ROAD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3414
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Country | US
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Telephone | 305-672-6474
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Fax | 305-672-6482
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Provider Business Mailing Address
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Address Line | 736 ARTHUR GODFREY ROAD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3414
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Country | US
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Telephone | 305-672-6474
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Fax | 305-672-6482
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL JAMES IANNETTONE
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Credential | DPT
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Telephone | 305-672-6474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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