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General NPI Number Information
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NPI Number | 1881070043
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Entity Type | Individual
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Provider Name | ELISSA HAUSMANN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 8603 S DIXIE HWY SUITE 308
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City | MIAMI
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State | FL
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Zip | 33143-7829
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Country | US
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Telephone | 305-661-1441
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Fax | 305-661-1443
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Provider Business Mailing Address
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Address Line | 1100 S MIAMI AVE APT 1007
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City | MIAMI
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State | FL
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Zip | 33130-4162
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Country | US
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Telephone | 813-298-4467
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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 | PT 30627
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License Number State | FL
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