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General NPI Number Information
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NPI Number | 1851917306
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Entity Type | Individual
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Provider Name | DYMA SOMES PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/21/2020
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Last Update Date | 06/21/2020
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Provider Practice Location Address
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Address Line | 1405 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-3406
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Country | US
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Telephone | 704-484-3294
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Fax |
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Provider Business Mailing Address
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Address Line | 2588 FLINTSHIRE LN
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City | GASTONIA
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State | NC
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Zip | 28056-7849
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Country | US
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Telephone | 704-678-3870
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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 | PT12458
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License Number State | NC
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