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General NPI Number Information
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NPI Number | 1730809039
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Entity Type | Individual
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Provider Name | DANA QUICK PT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 1229 HUNTSVILLE HWY STE B
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3685
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Country | US
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Telephone | 831-532-0960
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Fax |
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Provider Business Mailing Address
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Address Line | 8059 MITCHELL LN
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-6821
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 3386
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License Number State | TN
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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 | 3386
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License Number State | TN
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