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General NPI Number Information
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NPI Number | 1083753529
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Entity Type | Individual
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Provider Name | DORIS NIEVES DPT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | BDAACH/549TH HC USAG HUMPHREYS BLDG. #3030 UNIT #15245
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 11-822-7917
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Fax |
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Provider Business Mailing Address
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Address Line | BDAACH/549TH HC USAG HUMPHREYS, BLDG. #3030 UNIT 15245
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 11-822-7917
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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 | 009822
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 029093
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License Number State | NY
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