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General NPI Number Information
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NPI Number | 1851949796
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Entity Type | Individual
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Provider Name | CAMILLE ALCORIZA
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 13630 58TH ST N STE 103B
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City | CLEARWATER
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State | FL
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Zip | 33760-3734
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Country | US
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Telephone | 727-530-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 2690 DREW ST APT 208
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City | CLEARWATER
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State | FL
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Zip | 33759-3104
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Country | US
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Telephone | 813-220-6635
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Fax |
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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 |
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License Number State |
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