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General NPI Number Information
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NPI Number | 1164538898
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Entity Type | Individual
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Provider Name | PAMELA R DEHNE PT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4002 EXECUTIVE PARK BLVD STE 800
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City | SOUTHPORT
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State | NC
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Zip | 28461-9069
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Country | US
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Telephone | 910-477-6357
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Fax | 910-477-6357
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Provider Business Mailing Address
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Address Line | 7454 CORDOBA CIR APT 211
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City | LELAND
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State | NC
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Zip | 28451-2702
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Country | US
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Telephone | 512-590-1825
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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 | 1030658
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License Number State | TX
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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 | CP008765T
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License Number State | NC
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