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General NPI Number Information
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NPI Number | 1841729415
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Entity Type | Individual
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Provider Name | KAYLA CUTRUZZULA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 36397 N GANTZEL RD STE 102
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7336
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Country | US
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Telephone | 480-587-2987
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Fax |
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Provider Business Mailing Address
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Address Line | 3081 E BEECHNUT PL
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City | CHANDLER
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State | AZ
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Zip | 85249-1304
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Country | US
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Telephone | 480-773-8282
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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 | 013057
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License Number State | AZ
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