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General NPI Number Information
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NPI Number | 1851726012
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SPECIALISTS OF HUNTERS CREEK, LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 12/04/2013
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Provider Practice Location Address
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Address Line | 14115 TOWN LOOP BLVD SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32837-4839
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Country | US
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Telephone | 407-601-3922
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Fax |
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Provider Business Mailing Address
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Address Line | 14115 TOWN LOOP BLVD SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32837-4839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | DAVID KRAWCZYK
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Credential |
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Telephone | 407-601-3922
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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 | PT20492
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License Number State | FL
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