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General NPI Number Information
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NPI Number | 1710828314
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Entity Type | Organization
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Legal Business Name | THE STANDARD PERFORMANCE & FITNESS TRAINING LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 17543 NASSAU COMMONS BLVD
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City | LEWES
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State | DE
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Zip | 19958-6284
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Country | US
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Telephone | 518-944-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 34030 JOYCE CT
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City | LEWES
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State | DE
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Zip | 19958-7313
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Country | US
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Telephone | 518-944-0035
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Fax |
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Authorized Official
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Title or Position | PARTNER/CO-OWNER
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Name | DR. CONNOR BRETT DRISLANE
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Credential | DPT
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Telephone | 518-944-0035
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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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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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