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General NPI Number Information
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NPI Number | 1689050601
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Entity Type | Individual
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Provider Name | JOSEPH LUIS PALOMINO PT
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Gender | Male
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 350 NW 70TH AVE STE A
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City | PLANTATION
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State | FL
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Zip | 33317-2349
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Country | US
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Telephone | 954-741-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 TERRYSTONE CT
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City | WESTON
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State | FL
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Zip | 33326-2934
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Country | US
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Telephone | 786-333-5817
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 38336
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA63882
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License Number State | FL
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