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General NPI Number Information
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NPI Number | 1992433841
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Entity Type | Organization
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Legal Business Name | NEW MILLENNIUM PHYSICAL THERAPY & WELLNESS LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 851 W SR 436 STE 1017
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3055
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Country | US
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Telephone | 407-637-2650
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Fax | 321-972-4919
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Provider Business Mailing Address
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Address Line | 851 W SR 436 STE 1017
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3055
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Country | US
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Telephone | 407-637-2650
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Fax | 321-972-4919
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MR. USBER ARLEX JURI
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Credential | PTA
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Telephone | 561-598-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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