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General NPI Number Information
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NPI Number | 1629110507
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Entity Type | Individual
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Provider Name | MITCHELL ATMORE SALTER ATC, PTA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4000 CENTRAL FLORIDA BLVD HPA II
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City | ORLANDO
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State | FL
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Zip | 32816-2205
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Country | US
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Telephone | 407-823-5232
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Fax | 407-823-6138
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Provider Business Mailing Address
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Address Line | 4000 CENTRAL FLORIDA BLVD HPA II
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City | ORLANDO
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State | FL
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Zip | 32816-2205
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Country | US
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Telephone | 407-808-4865
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Fax | 407-823-6138
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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 | PTA 19118
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL 1419
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License Number State | FL
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