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General NPI Number Information
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NPI Number | 1730609801
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Entity Type | Individual
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Provider Name | PATRICK PICARD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11123 RIVER CREEK DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7285
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Country | US
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Telephone | 813-352-3718
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Fax |
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Provider Business Mailing Address
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Address Line | 11123 RIVER CREEK DR E
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7285
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Country | US
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Telephone | 813-352-3718
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 09485
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License Number State | OR
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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 | 6281
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2129076
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 27522
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License Number State | FL
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