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General NPI Number Information
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NPI Number | 1568369262
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Entity Type | Individual
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Provider Name | GAVIN CURTY PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | 1655 W MEQUON RD
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City | MEQUON
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State | WI
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Zip | 53092-3254
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Country | US
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Telephone | 414-607-5280
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Fax |
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Provider Business Mailing Address
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Address Line | 207 KUMMROW CT
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City | WALES
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State | WI
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Zip | 53183-9550
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Country | US
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Telephone | 262-888-0787
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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 | 1790224
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License Number State | WI
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