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General NPI Number Information
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NPI Number | 1699958819
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Entity Type | Individual
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Provider Name | DEVON A ALLGOWER P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 2780 W HORIZON RIDGE PKWY SUITE 40
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City | HENDERSON
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State | NV
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Zip | 89052-3995
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Country | US
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Telephone | 702-737-0304
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Fax | 702-733-9895
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Provider Business Mailing Address
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Address Line | 7361 PRAIRIE FALCON RD SUITE 130
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City | LAS VEGAS
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State | NV
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Zip | 89128-0823
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Country | US
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Telephone | 702-804-1511
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Fax | 702-804-2551
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2180
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License Number State | NV
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