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General NPI Number Information
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NPI Number | 1295379253
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Entity Type | Individual
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Provider Name | DANIKA HENKEL PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/03/2019
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Last Update Date | 11/03/2019
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Provider Practice Location Address
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Address Line | 22 CORPORATE PLAZA DR # 113
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7985
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Country | US
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Telephone | 949-722-5054
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Fax |
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Provider Business Mailing Address
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Address Line | 23 LEE
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City | IRVINE
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State | CA
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Zip | 92620-6202
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Country | US
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Telephone | 540-539-5011
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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 | PTL0016186
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License Number State | CO
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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 | 297509
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License Number State | CA
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