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General NPI Number Information
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NPI Number | 1992681258
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Entity Type | Individual
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Provider Name | ALISSA ANDERSON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3655 NW 107TH AVE
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City | DORAL
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State | FL
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Zip | 33178-4327
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Country | US
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Telephone | 786-452-0774
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Fax |
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Provider Business Mailing Address
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Address Line | 61 NW 37TH AVE APT 701
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City | MIAMI
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State | FL
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Zip | 33125-4875
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Country | US
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Telephone | 757-773-0530
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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 | 43569
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License Number State | FL
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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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