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General NPI Number Information
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NPI Number | 1225197114
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Entity Type | Individual
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Provider Name | DANNY DEMBY NORRDIN MPT
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 4010 SORRENTO VALLEY BLVD SUITE 300
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City | SAN DIEGO
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State | CA
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Zip | 92121-1432
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Country | US
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Telephone | 858-793-7876
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Fax | 858-436-1289
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Provider Business Mailing Address
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Address Line | 6699 ALVARADO RD SUITE 2100
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City | SAN DIEGO
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State | CA
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Zip | 92120-5238
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Country | US
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Telephone | 858-793-7860
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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 | PT30311
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License Number State | CA
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