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NPI 1740627553

NPI 1740627553 : JOEL CARANGAN CRUZ P.T. : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1740627553
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL CARANGAN CRUZ P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/03/2013
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    4821 PEBBLE BEACH DR 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-1737
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    Country              |    US
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    Telephone            |    917-548-8993
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4821 PEBBLE BEACH DR 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-1737
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    Country              |    US
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    Telephone            |    917-548-8993
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT28139
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    License Number State |    FL
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