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General NPI Number Information
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NPI Number | 1881528446
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Entity Type | Organization
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Legal Business Name | CIARA FORDE PT, DPT, CSCS PLLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 3110 SKYWAY CIR STE 111
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City | MELBOURNE
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State | FL
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Zip | 32934-7401
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Country | US
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Telephone | 617-894-1638
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N TAMPA ST, STE 1550 PMB 381219
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City | TAMPA
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State | FL
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Zip | 33602-4719
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Country | US
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Telephone | 617-894-1638
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | CIARA P FORDE
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Credential | PT, DPT, CSCS
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Telephone | 617-894-1638
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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 |
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License Number State |
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