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General NPI Number Information
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NPI Number | 1811017825
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Entity Type | Individual
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Provider Name | ANGELICA JAVIER ABRENICA RPT
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Gender | Female
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2007 DODGE ST
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City | CLEARWATER
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State | FL
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Zip | 33760-1814
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Country | US
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Telephone | 727-481-1694
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Fax | 727-535-5856
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Provider Business Mailing Address
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Address Line | 8233 EAGLES PARK DR N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-7008
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Country | US
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Telephone | 727-504-2269
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Fax | 727-544-2269
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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 | PT8441
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License Number State | FL
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