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NPI 1619940822

NPI 1619940822 : MATTHEW DEAN SMALLING PT : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1619940822
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW DEAN SMALLING PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2006
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    Last Update Date     |    12/21/2025
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Provider Practice Location Address
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    Address Line         |    9377 E BELL RD # 349 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1502
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    Country              |    US
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    Telephone            |    602-512-8434
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9377 E BELL RD STE 349 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1502
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    Country              |    US
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    Telephone            |    602-512-8434
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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       |    087696
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1130342
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    010373
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    License Number State |    AZ
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