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General NPI Number Information
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NPI Number | 1689737306
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Entity Type | Individual
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Provider Name | DOROTHY L GRAMMER RPT
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9407 AL HWY 36 W
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City | DANVILLE
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State | AL
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Zip | 35619
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Country | US
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Telephone | 256-773-3182
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Fax | 256-773-8027
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Provider Business Mailing Address
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Address Line | PO BOX 694
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City | HARTSELLE
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State | AL
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Zip | 35640-0694
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Country | US
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Telephone | 256-773-3182
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Fax | 256-773-8027
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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 | PTH221
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License Number State | AL
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