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General NPI Number Information
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NPI Number | 1275866915
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Entity Type | Individual
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Provider Name | ADRIENNE L'HEUREUX M.S.P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 20996 REDWOOD RD
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City | CASTO VALLEY
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State | CA
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Zip | 95682
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Country | US
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Telephone | 510-537-0272
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Fax |
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Provider Business Mailing Address
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Address Line | 879 OAK ST APT 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2425
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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 | PT018954
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License Number State | PA
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