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General NPI Number Information
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NPI Number | 1750749701
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Entity Type | Organization
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Legal Business Name | ACCESS-PT,INC.
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 10901 PINTO DR
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City | HUDSON
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State | FL
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Zip | 34669-2572
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Country | US
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Telephone | 727-992-2039
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Fax | 727-856-0843
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Provider Business Mailing Address
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Address Line | 10901 PINTO DR
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City | HUDSON
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State | FL
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Zip | 34669-2572
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Country | US
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Telephone | 727-992-2039
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Fax | 727-856-0843
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Authorized Official
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Title or Position | OWNER
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Name | MAY ANTONIO OUANO
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Credential | PT
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Telephone | 727-992-2039
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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 | PT773
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License Number State | FL
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