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General NPI Number Information
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NPI Number | 1720012495
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Entity Type | Individual
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Provider Name | DENIS PAUL DEMPSEY P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 2814 CAMINO DOS RIOS SUITE 406
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City | NEWBURY PARK
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State | CA
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Zip | 91320-1134
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Country | US
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Telephone | 805-375-1461
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Fax | 805-498-7613
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Provider Business Mailing Address
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Address Line | 2814 CAMINO DOS RIOS SUITE 406
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City | NEWBURY PARK
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State | CA
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Zip | 91320-1134
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Country | US
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Telephone | 805-375-1461
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Fax | 805-498-7613
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11942
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License Number State | CA
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