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General NPI Number Information
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NPI Number | 1912736349
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Entity Type | Individual
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Provider Name | KEVIN DOYLE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1 BRIDGE ST STE 1
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City | IRVINGTON
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State | NY
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Zip | 10533-1550
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Country | US
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Telephone | 914-478-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 27 MANSION DR
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City | HYDE PARK
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State | NY
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Zip | 12538-1122
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Country | US
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Telephone | 845-392-3329
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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 |
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License Number State |
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