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General NPI Number Information
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NPI Number | 1649854159
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Entity Type | Individual
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Provider Name | KENDYL CATHERINE WILSON MSCPT
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 2303 GEER RD
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City | TURLOCK
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State | CA
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Zip | 95382-2408
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Country | US
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Telephone | 209-585-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 25 INVERHURON TRAIL
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City | OAKVILLE
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State | ON
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Zip | L6H 5Z7
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Country | CA
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Telephone |
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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 | 046210
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License Number State | NY
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