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General NPI Number Information
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NPI Number | 1710096698
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Entity Type | Individual
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Provider Name | PETER L TALATI RPT
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7501 W OAKLAND PARK BLVD SUITE-306
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City | TAMARAC
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State | FL
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Zip | 33319-4982
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Country | US
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Telephone | 954-578-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 DIANA DR UNIT-301
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4823
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Country | US
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Telephone | 954-558-0001
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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 | 6674
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05008321A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1158677
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4992
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9940
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT16802
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License Number State | FL
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