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General NPI Number Information
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NPI Number | 1912651878
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Entity Type | Organization
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Legal Business Name | ALL PRO REHAB & PERFORMANCE CENTER
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 1015 GATEWAY BLVD STE 402
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8347
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Country | US
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Telephone | 305-335-9760
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 GATEWAY BLVD STE 402
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8347
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Country | US
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Telephone | 305-335-9760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERTSON AUGUSTE
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Credential | PT, DPT
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Telephone | 305-335-9760
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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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