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General NPI Number Information
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NPI Number | 1740472901
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE ORTHOPEDIC & SPORTS PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 3231 CAPITAL MEDICAL BLVD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4413
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Country | US
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Telephone | 850-219-1520
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Fax | 850-219-1521
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Provider Business Mailing Address
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Address Line | PO BOX 13269
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City | TALLAHASSEE
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State | FL
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Zip | 32317-3269
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Country | US
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Telephone | 850-219-1520
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Fax | 850-219-1521
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Authorized Official
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Title or Position | BUSINESS OPERATIONS MANAGER
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Name | MRS. LISA LUNN
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Credential |
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Telephone | 850-219-1520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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