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General NPI Number Information
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NPI Number | 1912395674
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Entity Type | Individual
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Provider Name | MATTHEW TURNER
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Gender | Male
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 6011 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-5386
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Country | US
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Telephone | 214-648-1511
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 DENHOLM DR
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City | MANHATTAN
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State | KS
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Zip | 66503-2210
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Country | US
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Telephone | 785-341-5592
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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 | 11-04928
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License Number State | KS
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