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General NPI Number Information
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NPI Number | 1497923338
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Entity Type | Organization
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Legal Business Name | GAIL DOTY PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 1002 LIVE OAK BLVD SUITE C
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City | YUBA CITY
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State | CA
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Zip | 95991-4028
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Country | US
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Telephone | 530-674-9100
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Fax | 530-674-9179
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Provider Business Mailing Address
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Address Line | 1002 LIVE OAK BLVD SUITE C
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City | YUBA CITY
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State | CA
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Zip | 95991-4028
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Country | US
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Telephone | 530-674-9100
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Fax | 530-674-9179
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Authorized Official
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Title or Position | OWNER
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Name | GAIL ANN DOTY
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Credential | P.T.
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Telephone | 530-674-9100
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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 | PT11171
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License Number State | CA
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