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General NPI Number Information
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NPI Number | 1710178306
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Entity Type | Organization
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Legal Business Name | JIM HARTTS PHYSICAL THERAPY AND SPORTS TRAINING CENTER INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 251 W PROSPECT RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-3925
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Country | US
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Telephone | 954-202-5959
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Fax | 954-202-5544
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Provider Business Mailing Address
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Address Line | 251 W PROSPECT RD
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City | OAKLAND PARK
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State | FL
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Zip | 33309-3925
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Country | US
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Telephone | 954-202-5959
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Fax | 954-202-5544
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM JIM HARTT
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Credential | P.T.
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Telephone | 954-202-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 7721
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License Number State | FL
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