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General NPI Number Information
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NPI Number | 1679926588
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Entity Type | Organization
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Legal Business Name | J&F PT PLLC
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 440 NE 4TH AVE UNIT 117
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3445
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Country | US
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Telephone | 954-740-9365
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Fax | 954-870-6141
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Provider Business Mailing Address
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Address Line | 440 NE 4TH AVE UNIT 117
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3445
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Country | US
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Telephone | 954-740-9365
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Fax | 954-870-6141
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JUSTIN ROBERT NEIDICH
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Credential | DPT
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Telephone | 954-740-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT 27335
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License Number State | FL
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