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General NPI Number Information
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NPI Number | 1043007016
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Entity Type | Individual
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Provider Name | KIERA DAUGHERTY DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 179 STATION PLACE
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-760-6300
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Fax | 304-201-5123
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Provider Business Mailing Address
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Address Line | 179 STATION PLACE
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-760-6300
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Fax | 304-201-5123
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 004839
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License Number State | WV
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