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General NPI Number Information
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NPI Number | 1669716742
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Entity Type | Individual
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Provider Name | JULIE ANN DOTSON PT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 914 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-4001
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Country | US
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Telephone | 719-371-7938
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | WHITEWATER
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State | KS
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Zip | 67154-0101
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Country | US
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Telephone | 719-371-7938
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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 | 10219
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License Number State | CO
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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 | 11-04478
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License Number State | KS
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