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General NPI Number Information
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NPI Number | 1740265768
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Entity Type | Individual
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Provider Name | WILLIAM V CALLA P.T
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 4115 BUCHANAN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5912
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Country | US
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Telephone | 954-554-4530
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Fax | 954-987-8184
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST #258
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 954-554-4530
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Fax | 954-987-8184
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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 | PT00005686
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License Number State | FL
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