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NPI 1154548659

NPI 1154548659 : DEAN WHITNEY PHYSICAL THERAPIST : SANTA PAULA, CA

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General NPI Number Information
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    NPI Number           |    1154548659
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    Entity Type          |    Individual 
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    Provider Name        |    DEAN WHITNEY PHYSICAL THERAPIST
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/19/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    400 E SANTA BARBARA ST 
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    City                 |    SANTA PAULA
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    State                |    CA
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    Zip                  |    93060-2675
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    Country              |    US
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    Telephone            |    805-933-0029
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    Fax                  |    805-933-3589
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Provider Business Mailing Address
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    Address Line         |    111 CANADA ST 
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    City                 |    OJAI
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    State                |    CA
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    Zip                  |    93023-5001
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    Country              |    US
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    Telephone            |    
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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       |    PT9871
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    License Number State |    CA
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