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General NPI Number Information
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NPI Number | 1336861822
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Entity Type | Individual
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Provider Name | KAITLIN DOBROWOLSKI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 2210 CHENEY HWY
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City | TITUSVILLE
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State | FL
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Zip | 32780-6702
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Country | US
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Telephone | 321-268-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 MOORE AVE
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City | CHEBOYGAN
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State | MI
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Zip | 49721
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Country | US
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Telephone | 231-290-2444
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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 |
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License Number State | FL
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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 | 39413
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License Number State | FL
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