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General NPI Number Information
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NPI Number | 1104593359
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Entity Type | Individual
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Provider Name | DYLAN B DELANCEY DPT
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Gender | Male
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 4010 BIENVILLE BLVD UNIT E
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5990
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Country | US
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Telephone | 228-300-6001
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Fax | 228-300-6005
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Provider Business Mailing Address
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Address Line | 4714 MILESTONE LN
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City | CASTLE ROCK
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State | CO
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Zip | 80104-7907
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Country | US
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Telephone | 303-660-5349
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Fax | 717-773-4654
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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 | CP049062T
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License Number State | CO
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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 | PT7224
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License Number State | MS
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