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General NPI Number Information
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NPI Number | 1740498005
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Entity Type | Organization
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Legal Business Name | CPT UNLIMITED
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 8580 NW 57TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-0810
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Country | US
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Telephone | 954-600-5887
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Fax |
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Provider Business Mailing Address
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Address Line | 8580 NW 57TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-0810
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Country | US
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Telephone | 954-600-5887
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELYSE CASTILLO
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Credential |
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Telephone | 954-600-5887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0952
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License Number State | FL
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