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General NPI Number Information
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NPI Number | 1710205810
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Entity Type | Organization
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Legal Business Name | PAINFREE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 601 E DIXIE AVE PLAZA 901
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City | LEESBURG
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State | FL
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Zip | 34748-5953
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Country | US
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Telephone | 352-460-9033
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Fax |
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Provider Business Mailing Address
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Address Line | 9625 WATER FERN CIR
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City | CLERMONT
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State | FL
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Zip | 34711-6651
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Country | US
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Telephone | 352-460-9033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID WRIGHT
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Credential | PT
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Telephone | 352-460-9033
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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 | PT14892
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License Number State | FL
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