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General NPI Number Information
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NPI Number | 1982971909
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Entity Type | Organization
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Legal Business Name | NEW PTRS
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 720 N DIXIE HWY APT 505 505
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City | LANTANA
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State | FL
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Zip | 33462-1849
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Country | US
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Telephone | 561-236-2098
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Fax |
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Provider Business Mailing Address
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Address Line | 720 N DIXIE HWY APT 505 505
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City | LANTANA
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State | FL
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Zip | 33462-1849
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Country | US
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Telephone | 561-236-2098
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | EERO ARVIID LAUKKANEN
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Credential | P.T.
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Telephone | 561-236-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | PT0009524
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License Number State | FL
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