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General NPI Number Information
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NPI Number | 1679191258
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Entity Type | Organization
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Legal Business Name | THE OBSTETRIC PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1500 N UNIVERSITY DR STE 105
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6071
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Country | US
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Telephone | 954-709-2818
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Fax |
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Provider Business Mailing Address
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Address Line | 8801 W ATLANTIC BLVD # 771132
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7462
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | NADIA AUGUSTE
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Credential |
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Telephone | 954-709-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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