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General NPI Number Information
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NPI Number | 1770011488
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Entity Type | Individual
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Provider Name | ROI DENNIS ADELA CAYETANO SMALLWOOD PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7150 E CAMELBACK RD STE 444
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1257
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Country | US
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Telephone | 617-803-7081
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Fax | 800-852-1426
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Provider Business Mailing Address
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Address Line | 7150 E CAMELBACK RD STE 444
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-1257
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Country | US
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Telephone | 617-803-7081
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Fax | 800-852-1426
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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 |
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License Number State | MA
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