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General NPI Number Information
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NPI Number | 1760104475
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Entity Type | Organization
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Legal Business Name | UNITED THERAPISTS INC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 4917 NE 14TH TER
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5703
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Country | US
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Telephone | 954-818-6338
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Fax | 954-480-9082
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Provider Business Mailing Address
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Address Line | 4917 NE 14TH TER
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5703
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Country | US
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Telephone | 954-818-6338
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Fax | 954-480-9082
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN ROBERT ELLER
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Credential | PTA
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Telephone | 954-818-6338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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