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General NPI Number Information
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NPI Number | 1366851461
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Entity Type | Individual
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Provider Name | ALEX DRAGON DPT
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Gender | Male
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 3414 NORTHPORT DR STE 2
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City | MUSCATINE
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State | IA
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Zip | 52761-8984
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Country | US
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Telephone | 563-263-2639
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Fax | 563-263-2691
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Provider Business Mailing Address
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Address Line | 850 43RD AVE STE 100
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City | MOLINE
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State | IL
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Zip | 61265-8401
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Country | US
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Telephone | 309-743-2070
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Fax | 309-743-2073
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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 | 073867
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License Number State | IA
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