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General NPI Number Information
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NPI Number | 1083865737
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Entity Type | Organization
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Legal Business Name | DEERING THERAPY SERVICES LTD
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 2501 STOCKTON HILL RD SUITE 104
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City | KINGMAN
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State | AZ
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Zip | 86401-4140
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Country | US
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Telephone | 928-753-4263
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Fax | 928-753-1173
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Provider Business Mailing Address
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Address Line | PO BOX 3278
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City | KINGMAN
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State | AZ
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Zip | 86402-3278
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Country | US
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Telephone | 928-753-4263
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Fax | 928-753-1173
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KERRY WAYNE DEERING
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Credential | OTR
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Telephone | 928-753-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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