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General NPI Number Information
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NPI Number | 1972299881
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Entity Type | Organization
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Legal Business Name | ALIGN PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 8000 RON BEATTY BLVD STE A-5
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City | MICCO
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State | FL
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Zip | 32976-7473
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Country | US
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Telephone | 321-622-5707
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Fax | 321-622-8557
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Provider Business Mailing Address
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Address Line | 8000 RON BEATTY BLVD STE A-5
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City | MICCO
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State | FL
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Zip | 32976-7473
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Country | US
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Telephone | 321-622-5707
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Fax | 321-622-8557
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMY STROUP
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Credential |
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Telephone | 321-622-5707
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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 |
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License Number State |
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