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General NPI Number Information
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NPI Number | 1023623600
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Entity Type | Individual
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Provider Name | DILLON RAY TRAYNOR DPT
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Gender | Male
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 1800 SUTTER ST STE 420
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City | CONCORD
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State | CA
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Zip | 94520-2586
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Country | US
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Telephone | 925-440-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 SHIRLEY RD
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City | BELMONT
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State | CA
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Zip | 94002-1546
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Country | US
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Telephone | 650-305-5818
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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 | 298816
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License Number State | CA
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