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General NPI Number Information
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NPI Number | 1689729188
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Entity Type | Organization
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Legal Business Name | ACTION PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 1515 N FLAGLER DR #220
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3428
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Country | US
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Telephone | 561-366-8707
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Fax | 561-366-8713
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Provider Business Mailing Address
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Address Line | 1515 N FLAGLER DR #220
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3428
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Country | US
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Telephone | 561-366-8707
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Fax | 561-366-8713
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY D GENECCO
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Credential |
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Telephone | 561-741-1661
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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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