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General NPI Number Information
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NPI Number | 1629720917
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Entity Type | Individual
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Provider Name | KEVIN HATHAWAY EWERS DPT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 730 14TH ST SW STE 200
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City | LOVELAND
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State | CO
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Zip | 80537-6349
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Country | US
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Telephone | 970-663-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 408 HIGUERA ST STE 200
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6135
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Country | US
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Telephone | 805-788-0805
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Fax | 805-788-0845
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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 | PT305251
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License Number State | CA
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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 | 40QA02075300
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License Number State | NJ
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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 | CP042519T
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License Number State | CO
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