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General NPI Number Information
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NPI Number | 1730242405
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Entity Type | Individual
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Provider Name | RICHARD BARLETTA PT/DPT, MPH
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2055 WOOD ST STE 110
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City | SARASOTA
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State | FL
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Zip | 34237-7928
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Country | US
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Telephone | 941-330-1677
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Fax | 941-330-1688
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Provider Business Mailing Address
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Address Line | 8352 CANARY PALM CT
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City | SARASOTA
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State | FL
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Zip | 34238-3360
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Country | US
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Telephone | 941-350-9567
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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 | PT4313
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License Number State | FL
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