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General NPI Number Information
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NPI Number | 1922369586
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Entity Type | Organization
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Legal Business Name | CAWLEY PHYSICAL THERAPY AND FITNESS, LLC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 25054 PEACOCK LN #201
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City | NAPLES
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State | FL
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Zip | 34114-9697
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Country | US
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Telephone | 239-300-2324
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Fax | 888-747-9646
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Provider Business Mailing Address
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Address Line | 25054 PEACOCK LN #201
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City | NAPLES
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State | FL
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Zip | 34114-9697
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Country | US
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Telephone | 239-300-2324
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Fax | 888-747-9646
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DAMON CAWLEY
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Credential | P.T.
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Telephone | 239-298-4309
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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 | PT018689
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License Number State | PA
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