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General NPI Number Information
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NPI Number | 1346661451
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Entity Type | Individual
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Provider Name | KERRY PICKERING PT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 630 WARNER AVE STE 104
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647
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Country | US
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Telephone | 714-485-9887
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Fax | 949-216-5980
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Provider Business Mailing Address
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Address Line | 2621 E JACARANDA AVE
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City | ORANGE
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State | CA
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Zip | 92867-6224
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Country | US
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Telephone | 714-485-9887
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Fax | 949-216-5980
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 39710
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License Number State | CA
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