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General NPI Number Information
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NPI Number | 1912519901
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Entity Type | Individual
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Provider Name | JANINE WILHELM DPT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3602 W SAN JUAN ST
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City | TAMPA
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State | FL
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Zip | 33629-6922
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Country | US
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Telephone | 813-833-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 5857 GRAND SONATA AVE
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City | LUTZ
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State | FL
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Zip | 33558-5614
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Country | US
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Telephone | 716-696-2643
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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 | 39378
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4128
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License Number State | NE
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