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General NPI Number Information
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NPI Number | 1912812090
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Entity Type | Individual
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Provider Name | JOEY STANCOMBE PTA
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Gender | Male
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1064 CAMBRIDGE DR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-9741
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Country | US
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Telephone | 863-709-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 6141 LAKE WORTH RD
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City | GREENACRES
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State | FL
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Zip | 33463-3074
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Country | US
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Telephone | 866-573-2556
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA33354
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License Number State | FL
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