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General NPI Number Information
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NPI Number | 1962281550
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Entity Type | Individual
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Provider Name | JAMIE MARIE PEWITT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 350 DEVONSHIRE WAY
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-6877
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Country | US
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Telephone | 561-227-2401
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Fax |
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Provider Business Mailing Address
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Address Line | 105 1ST CT
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5101
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Country | US
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Telephone | 760-978-7807
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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 | 39926
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License Number State | FL
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