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General NPI Number Information
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NPI Number | 1356474498
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Entity Type | Individual
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Provider Name | DVORITH (DEBBIE) SANDRA STRAUSS P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 11230 BALLANTYNE TRACE CT
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City | CHARLOTTE
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State | NC
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Zip | 28277-2791
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Country | US
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Telephone | 704-341-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 10522 PAXTON RUN RD
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City | CHARLOTTE
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State | NC
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Zip | 28277-1965
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Country | US
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Telephone | 704-533-0666
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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 |
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