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General NPI Number Information
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NPI Number | 1932277001
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Entity Type | Individual
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Provider Name | JUDI SUE HAMELBURG P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1031 IVES DAIRY RD 228
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 305-770-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 NE 116TH ST
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City | BISCAYNE PARK
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State | FL
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Zip | 33161-6743
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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 | PT 0003973
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License Number State | FL
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