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General NPI Number Information
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NPI Number | 1518537968
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Entity Type | Individual
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Provider Name | KYLE HUNTER WEBB PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 129 3RD AVE
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City | CHESAPEAKE
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State | OH
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Zip | 45619-1140
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Country | US
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Telephone | 740-550-4128
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Fax | 740-422-0516
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Provider Business Mailing Address
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Address Line | 1840 COUNTY ROAD 32
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City | CHESAPEAKE
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State | OH
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Zip | 45619-8693
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Country | US
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Telephone | 304-634-3633
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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 | PT016649
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License Number State | OH
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