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General NPI Number Information
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NPI Number | 1770782815
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY CLINIC OF NAPLES LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 1865 VETERANS PARK DR SUITE 101
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City | NAPLES
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State | FL
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Zip | 34109-0447
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Country | US
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Telephone | 239-597-0787
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Fax | 239-325-1057
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Provider Business Mailing Address
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Address Line | 1865 VETERANS PARK DR SUITE 101
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City | NAPLES
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State | FL
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Zip | 34109-0447
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Country | US
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Telephone | 239-597-0787
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Fax | 239-325-1057
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Authorized Official
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Title or Position | DIRECTOR OF FITNESS
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Name | MS. KATHLEEN BELTON HOEFT
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Credential | MPT, ATC
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Telephone | 239-597-0787
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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 | PT21327
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License Number State | FL
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