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General NPI Number Information
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NPI Number | 1366585945
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Entity Type | Organization
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Legal Business Name | DEERING THERAPY SERVICES LTD
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 06/04/2017
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Provider Practice Location Address
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Address Line | 1841 MORROW AVE
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City | KINGMAN
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State | AZ
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Zip | 86409
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Country | US
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Telephone | 928-753-4263
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Fax | 928-753-1173
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Provider Business Mailing Address
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Address Line | PO BOX 3278
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City | KINGMAN
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State | AZ
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Zip | 86409
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Country | US
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Telephone | 928-753-4263
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Fax | 928-753-1173
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Authorized Official
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Title or Position | PRESIDENT
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Name | KERRY W. DEERING
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Credential | OTR
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Telephone | 928-753-4263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0104
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License Number State | AZ
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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 | 1689
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License Number State | AZ
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