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General NPI Number Information
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NPI Number | 1023811122
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Entity Type | Individual
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Provider Name | DENNIS WAYNE BRUMFIELD DPT
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Gender | Male
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 120 E WALNUT ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1312
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Country | US
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Telephone | 317-226-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 526 BRIDGE CT
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City | FORTVILLE
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State | IN
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Zip | 46040-1432
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Country | US
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Telephone | 812-764-8109
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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 |
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License Number State |
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