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General NPI Number Information
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NPI Number | 1871378372
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Entity Type | Individual
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Provider Name | DOMINIC BARRETTE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 12315 N VISTOSO PARK RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-5819
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Country | US
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Telephone | 520-382-8180
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Fax | 520-382-8342
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Provider Business Mailing Address
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Address Line | 12315 N VISTOSO PARK RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-5819
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Country | US
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Telephone | 520-382-8180
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Fax | 520-382-8342
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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 | 5211
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL-0019576
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-033822
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | S91188777
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 65296
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License Number State | OR
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