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General NPI Number Information
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NPI Number | 1730660531
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Entity Type | Individual
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Provider Name | KENNETH LEE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 13178 SW 30TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3838
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Country | US
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Telephone | 954-647-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 13178 SW 30TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3838
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Country | US
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Telephone | 954-800-0186
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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 | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT0008977
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT0008977
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License Number State | FL
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