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General NPI Number Information
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NPI Number | 1831329176
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Entity Type | Individual
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Provider Name | DANIELLE LUTZ MSPT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 48 TUNNEL RD STE 202
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City | POTTSVILLE
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State | PA
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Zip | 17901-3885
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Country | US
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Telephone | 570-622-0182
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Fax | 570-622-0182
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Provider Business Mailing Address
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Address Line | PO BOX 932184
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City | ATLANTA
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State | GA
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Zip | 31193-2184
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Country | US
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Telephone | 856-678-3484
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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 | PT020017
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License Number State | PA
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