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General NPI Number Information
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NPI Number | 1992823660
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Entity Type | Organization
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Legal Business Name | THE TRACK - STRENGTHENING & CONDITIONING, INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 FRIENDSHIP DR
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City | ORLANDO
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State | FL
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Zip | 32835-4407
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Country | US
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Telephone | 407-578-2993
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Fax | 407-297-7842
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Provider Business Mailing Address
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Address Line | 475 FRIENDSHIP DR
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City | ORLANDO
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State | FL
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Zip | 32835-4407
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Country | US
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Telephone | 407-578-2993
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Fax | 407-297-7842
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CASSANDRA ELOICE MORRIS
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Credential |
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Telephone | 407-578-2993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PO5000154051
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License Number State | FL
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