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General NPI Number Information
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NPI Number | 1821852146
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Entity Type | Individual
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Provider Name | STUART JAMES DUERSCH PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 2281 W 24TH ST
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City | YUMA
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State | AZ
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Zip | 85364-6154
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Country | US
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Telephone | 928-722-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 W 27TH LN
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City | YUMA
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State | AZ
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Zip | 85364-7544
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Country | US
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Telephone | 801-368-9077
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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 | CP027422T
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License Number State | AZ
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