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NPI 1932836012

NPI 1932836012 : CASEY DIAZ TURINI PT, DPT : CROMWELL, CT

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General NPI Number Information
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    NPI Number           |    1932836012
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY DIAZ TURINI PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2022
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    Last Update Date     |    11/12/2024
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Provider Practice Location Address
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    Address Line         |    80 SHUNPIKE RD UNIT 202 
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    City                 |    CROMWELL
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    State                |    CT
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    Zip                  |    06416-4402
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    Country              |    US
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    Telephone            |    860-632-1792
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 COMMONS PARK S UNIT 1611 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06902-7072
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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       |    13666
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    License Number State |    CT
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