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General NPI Number Information
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NPI Number | 1629340807
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Entity Type | Organization
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Legal Business Name | ORLANDO PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 2014 S ORANGE AVE 200B
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City | ORLANDO
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State | FL
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Zip | 32806-3069
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Country | US
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Telephone | 407-273-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 S ORANGE AVE 200B
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City | ORLANDO
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State | FL
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Zip | 32806-3069
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Country | US
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Telephone | 407-273-3100
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. BARNEY J RENTON III
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Credential | PT
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Telephone | 407-273-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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