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General NPI Number Information
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NPI Number | 1689687055
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY BY DESIGN LLC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 1905 CLINT MOORE RD SUITE 211, 102
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City | BOCA RATON
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State | FL
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Zip | 33496-2658
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Country | US
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Telephone | 561-994-0014
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Fax | 561-994-0059
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Provider Business Mailing Address
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Address Line | 4177 NW 28TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33434-5834
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Country | US
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Telephone | 561-998-4676
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Fax | 561-998-4735
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE KAPLAN
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Credential | PT
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Telephone | 561-994-0014
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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 |
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License Number State |
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