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General NPI Number Information
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NPI Number | 1831181908
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Entity Type | Individual
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Provider Name | TONYA M GARES-MATNEY MPT CERTIFIED MDT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 2701 CALLOWAY DR SUITE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2621
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Country | US
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Telephone | 661-589-9066
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Fax | 661-589-4209
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Provider Business Mailing Address
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Address Line | 1201 23RD ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-327-4357
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Fax | 661-327-2311
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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 | 25263
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License Number State | CA
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