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General NPI Number Information
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NPI Number | 1912429440
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Entity Type | Individual
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Provider Name | THEA LYN ANINAO ALANO
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 12272 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4227
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Country | US
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Telephone | 954-344-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 608 W HAMILTON ST
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City | OLNEY
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State | TX
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Zip | 76374-1720
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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 |
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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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