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General NPI Number Information
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NPI Number | 1477592251
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Entity Type | Individual
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Provider Name | DAVID V ISHERWOOD PT
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 465 WESTFALL RD
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City | ROCHESTER
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State | NY
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Zip | 14620-4645
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Country | US
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Telephone | 585-463-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 1753 ATHENA DR
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City | AVON
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State | NY
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Zip | 14414-9579
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Country | US
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Telephone | 585-226-2578
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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 | 021630
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License Number State | NY
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