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General NPI Number Information
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NPI Number | 1568573277
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Entity Type | Individual
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Provider Name | DORIS S FLOOD MS PT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11501 RANCHO BERNARDO STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92127-1404
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Country | US
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Telephone | 858-485-6706
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Fax | 858-485-7052
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Provider Business Mailing Address
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Address Line | 11178 INDIAN LORE CT
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City | SAN DIEGO
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State | CA
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Zip | 92127
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Country | US
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Telephone | 858-451-5610
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Fax | 858-485-7052
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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 | 13237
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License Number State | CA
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