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General NPI Number Information
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NPI Number | 1053577700
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Entity Type | Individual
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Provider Name | DAVID JAMES DENTON PT, DPT, EDD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 53 W MCKINLEY WAY
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City | POLAND
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State | OH
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Zip | 44514-1953
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Country | US
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Telephone | 330-892-7059
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Fax |
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Provider Business Mailing Address
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Address Line | 3424 W CALLA RD
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City | CANFIELD
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State | OH
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Zip | 44406-9172
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Country | US
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Telephone | 330-774-3464
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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 | PT.012185
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License Number State | OH
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