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General NPI Number Information
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NPI Number | 1669262531
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Entity Type | Individual
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Provider Name | DANIELLE BICKFORD DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 6253 N FOX RUN WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-6791
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Country | US
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Telephone | 208-994-4300
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Fax | 208-417-5160
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Provider Business Mailing Address
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Address Line | 6273 W SOPRANO ST
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City | MERIDIAN
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State | ID
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Zip | 83646-1723
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Country | US
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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 | 5371856
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License Number State | ID
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