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General NPI Number Information
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NPI Number | 1699325753
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Entity Type | Individual
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Provider Name | KAILEY DOTSON DPT
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1315 CAMERON AVE
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9662
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Country | US
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Telephone | 614-505-3085
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5424
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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 | PT018293
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License Number State | OH
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