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General NPI Number Information
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NPI Number | 1750712352
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Entity Type | Individual
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Provider Name | ARIELLE PRINCE PT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 604 NEW BERLIN ROAD SUITE 8
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City | JACKSONVILLE
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State | FL
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Zip | 32218
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Country | US
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Telephone | 904-203-1386
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Fax |
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Provider Business Mailing Address
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Address Line | 3745 SHAWNEE RD
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City | LIMA
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State | OH
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Zip | 45806-1657
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Country | US
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Telephone | 954-248-4140
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Fax | 567-301-3703
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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 | P23032
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 037020
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License Number State | NY
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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 | PT35466
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License Number State | FL
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