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General NPI Number Information
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NPI Number | 1457020927
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Entity Type | Individual
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Provider Name | OMAR DURRANI PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 9508 E RIGGS RD
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City | SUN LAKES
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State | AZ
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Zip | 85248-7531
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Country | US
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Telephone | 480-883-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 7310 N 16TH ST STE 100
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City | PHOENIX
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State | AZ
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Zip | 85020-5259
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Country | US
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Telephone | 602-535-8255
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 31982
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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 |
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License Number State |
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