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General NPI Number Information
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NPI Number | 1518040278
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Entity Type | Individual
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Provider Name | DAVID VINCENT POWERS P.T.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 881 ALMA REAL DR STE 211
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-3748
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Country | US
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Telephone | 310-454-0060
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Fax | 310-454-0065
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Provider Business Mailing Address
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Address Line | 1583 CALLE PATRICIA
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-1942
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Country | US
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Telephone | 310-454-4678
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Fax | 310-454-5049
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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 | 8927
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License Number State | CA
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