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General NPI Number Information
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NPI Number | 1578859054
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Entity Type | Individual
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Provider Name | CARA DEVOE DPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1110 CALL CREEK DR STE 7
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City | POCATELLO
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State | ID
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Zip | 83201-3072
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Country | US
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Telephone | 208-233-4660
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Fax | 208-233-4262
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Provider Business Mailing Address
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Address Line | 1110 CALL CREEK DR STE 7
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City | POCATELLO
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State | ID
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Zip | 83201-3072
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Country | US
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Telephone | 208-233-4660
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Fax | 208-233-4262
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT-2838
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License Number State | ID
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