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General NPI Number Information
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NPI Number | 1659102762
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Entity Type | Individual
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Provider Name | ELIZABETH MCCOY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 957 FAULKNER RD STE 105
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City | SANTA PAULA
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State | CA
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Zip | 93060-9129
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Country | US
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Telephone | 805-765-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 248 S SATICOY AVE
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City | VENTURA
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State | CA
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Zip | 93004-2972
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Country | US
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Telephone | 281-435-1544
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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 | 27422
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License Number State | MA
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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 | 307130
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License Number State | CA
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