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General NPI Number Information
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NPI Number | 1841481298
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Entity Type | Organization
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Legal Business Name | CORE KINETICS INC
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 15145 MICHELANGELO BLVD #15-207
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City | DELRAY BEACH
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State | FL
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Zip | 33446-6019
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Country | US
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Telephone | 773-354-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 15145 MICHELANGELO BLVD #15-207
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City | DELRAY BEACH
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State | FL
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Zip | 33446-6019
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Country | US
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Telephone | 773-354-8383
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JODI LYNN EPSTEIN
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Credential | MPT
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Telephone | 773-354-8383
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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 | PT19200
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License Number State | FL
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