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General NPI Number Information
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NPI Number | 1730357369
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Entity Type | Individual
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Provider Name | BRIAN KEITH HOLD PT
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Gender | Male
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 05/25/2008
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Provider Practice Location Address
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Address Line | 37411 EILAND BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-1800
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Country | US
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Telephone | 727-534-8014
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Fax | 813-929-0170
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Provider Business Mailing Address
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Address Line | 10722 RAIN LILLY PASS
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City | LAND O LAKES
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State | FL
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Zip | 34638-6924
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Country | US
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Telephone | 727-534-8014
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Fax | 813-929-0170
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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 | PT15080
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License Number State | FL
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