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General NPI Number Information
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NPI Number | 1639391766
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Entity Type | Individual
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Provider Name | JOHN A. DURKIN O.T.R.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2436 S INTERSTATE 35 E SUITE 336
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City | DENTON
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State | TX
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Zip | 76205-4992
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Country | US
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Telephone | 948-484-1100
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Fax | 940-595-4620
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Provider Business Mailing Address
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Address Line | 2436 S INTERSTATE 35 E SUITE 336
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City | DENTON
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State | TX
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Zip | 76205-4992
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Country | US
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Telephone | 948-484-1100
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Fax | 940-595-4620
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 100453
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License Number State | TX
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