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General NPI Number Information
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NPI Number | 1457233470
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Entity Type | Individual
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Provider Name | HALEY H KUTCH DPT
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2716 TRAVIS DR
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City | DESOTO
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State | TX
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Zip | 75115-2089
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Country | US
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Telephone | 949-693-7224
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35232 ATTENTION CREDENTIALING
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City | BELFAST
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State | ME
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Zip | 04915-0630
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Country | US
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Telephone | 817-375-5200
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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 | 3134356
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License Number State | TX
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