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General NPI Number Information
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NPI Number | 1760970404
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Entity Type | Organization
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Legal Business Name | VALOR PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 417 LITHIA PINECREST RD
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City | BRANDON
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State | FL
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Zip | 33511-6138
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Country | US
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Telephone | 813-651-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 417 LITHIA PINECREST RD
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City | BRANDON
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State | FL
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Zip | 33511-6138
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Country | US
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Telephone | 703-772-7543
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YASHAR RAMOS
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Credential | MSPT
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Telephone | 703-772-7543
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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 |
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License Number State |
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