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General NPI Number Information
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NPI Number | 1942286273
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Entity Type | Individual
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Provider Name | OCIEL E BETANCOURT PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 12767 TAMIAMI TRL S
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City | NORTH PORT
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State | FL
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Zip | 34287
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Country | US
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Telephone | 941-426-8100
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Fax | 941-426-0800
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Provider Business Mailing Address
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Address Line | PO BOX 380967
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City | MURDOCK
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State | FL
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Zip | 33938-0967
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Country | US
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Telephone | 941-426-8100
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Fax | 941-426-0800
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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 | PT15536
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License Number State | FL
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