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General NPI Number Information
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NPI Number | 1760581789
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA HAND THERAPY ASSOC INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 10189 SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 954-236-6770
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Fax | 954-236-6771
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Provider Business Mailing Address
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Address Line | 10189 SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322
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Country | US
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Telephone | 954-236-6770
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Fax | 954-236-6771
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN BURNS
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Credential | OTR/L, CHT
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Telephone | 954-236-6770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | OT0000761
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OT0000761
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License Number State | FL
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