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General NPI Number Information
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NPI Number | 1760564603
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Entity Type | Individual
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Provider Name | IRIS MARGARITA DIAZ P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2129 RIVER REACH DR APT. 537
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City | NAPLES
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State | FL
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Zip | 34104-7926
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Country | US
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Telephone | 239-643-7950
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Fax | 239-643-7950
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Provider Business Mailing Address
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Address Line | 2129 RIVER REACH DR APT. 537
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City | NAPLES
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State | FL
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Zip | 34104-6965
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Country | US
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Telephone | 239-643-7950
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Fax | 239-643-7950
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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 | 2913
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License Number State | FL
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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 | 322
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License Number State | PR
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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 | 006153
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License Number State | GA
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