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General NPI Number Information
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NPI Number | 1891859807
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Entity Type | Individual
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Provider Name | JOAN KATHLEEN DENZLER P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ALAMEDA COUNTY MEDICAL CENTER - FAIRMONT CAMPUS 15400 FOOTHILL BLVD
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1009
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Country | US
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Telephone | 510-895-4513
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Fax |
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Provider Business Mailing Address
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Address Line | 34008 WEBFOOT LOOP
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City | FREMONT
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State | CA
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Zip | 94555-2975
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Country | US
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Telephone | 510-713-1101
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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 | 10626
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License Number State | CA
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