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General NPI Number Information
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NPI Number | 1629731096
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Entity Type | Individual
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Provider Name | DEANN TAYLOR WEBB DPT
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Gender | Female
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 122 S WOODBURN DR
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City | DOTHAN
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State | AL
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Zip | 36305-1020
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Country | US
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Telephone | 229-392-8705
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 FERN DR
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City | DOTHAN
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State | AL
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Zip | 36301-5561
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Country | US
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Telephone | 229-392-8705
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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 | PTH9735
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License Number State | AL
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