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General NPI Number Information
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NPI Number | 1972060937
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Entity Type | Organization
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Legal Business Name | TRITTSCHUH PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 163 W 1ST AVE
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City | PIERSON
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State | FL
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Zip | 32180-2200
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Country | US
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Telephone | 386-749-0612
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Fax | 386-749-0433
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Provider Business Mailing Address
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Address Line | 163 W 1ST AVE
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City | PIERSON
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State | FL
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Zip | 32180-2200
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Country | US
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Telephone | 386-749-0612
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Fax | 386-749-0433
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Authorized Official
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Title or Position | CEO
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Name | DR. NICHOLAS JAMES LAMBERT
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Credential | PT
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Telephone | 386-749-0612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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