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General NPI Number Information
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NPI Number | 1881800324
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Entity Type | Individual
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Provider Name | NANCY J DILGER MA, PT, PCS, CKTP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1334 WESTWOOD BLVD SUITE 2B
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City | LOS ANGELES
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State | CA
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Zip | 90024-4951
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Country | US
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Telephone | 310-475-7880
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Fax | 310-474-7401
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Provider Business Mailing Address
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Address Line | 1334 WESTWOOD BOULEVARD SUITE 2B
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City | LA
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State | CA
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Zip | 90024
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Country | US
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Telephone | 310-475-7880
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Fax | 310-474-7401
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | P.T. 14662
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License Number State | CA
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