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General NPI Number Information
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NPI Number | 1619018504
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Entity Type | Organization
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Legal Business Name | VAN PELT & ASSOCIATES PHYSICAL THERAPY SERVICES PA
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 3848 FAU BLVD STE 105
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City | BOCA RATON
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State | FL
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Zip | 33431-6437
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Country | US
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Telephone | 561-395-2920
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Fax | 561-997-8929
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Provider Business Mailing Address
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Address Line | 3848 FAU BLVD STE 105
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City | BOCA RATON
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State | FL
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Zip | 33431-6437
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Country | US
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Telephone | 561-395-2920
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Fax | 561-395-2960
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANA M VAN PELT
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Credential | PT
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Telephone | 561-395-2920
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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 |
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License Number State |
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