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General NPI Number Information
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NPI Number | 1598789851
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Entity Type | Individual
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Provider Name | DENISE DEWEY PT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7640 SYLVANIA AVE STE B-1
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City | SYLVANIA
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State | OH
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Zip | 43560-9263
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Country | US
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Telephone | 419-517-7538
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Fax | 419-517-7539
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Provider Business Mailing Address
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Address Line | 7311 WOODSHIRE LN
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City | HOLLAND
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State | OH
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Zip | 43528-9135
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Country | US
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Telephone | 419-861-2344
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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 | PT 010822
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License Number State | OH
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