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General NPI Number Information
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NPI Number | 1952699423
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Entity Type | Individual
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Provider Name | DAVID TALIAFERRO D.P.T., PT, OCS
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Gender | Male
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 880 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4827
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Country | US
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Telephone | 727-767-2884
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Fax |
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Provider Business Mailing Address
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Address Line | 880 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4827
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Country | US
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Telephone | 727-767-2884
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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 26519
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License Number State | FL
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