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General NPI Number Information
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NPI Number | 1154008431
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Entity Type | Individual
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Provider Name | DYLAN KUMAR PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 2345 BROADWAY
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City | OAKLAND
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State | CA
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Zip | 94612-2414
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Country | US
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Telephone | 510-338-7283
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Fax |
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Provider Business Mailing Address
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Address Line | 281 SPRING ST UNIT 3
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City | PLEASANTON
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State | CA
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Zip | 94566-5215
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Country | US
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Telephone | 925-998-4908
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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 | 304250
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License Number State | CA
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