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General NPI Number Information
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NPI Number | 1922371822
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Entity Type | Individual
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Provider Name | MACKENZIE DEMPSEY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 1301 W PERSIMMON ST
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City | ROGERS
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State | AR
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Zip | 72756-3345
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Country | US
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Telephone | 870-336-0238
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 PIN OAK RD STE 108
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City | KATY
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State | TX
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Zip | 77494-6850
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Country | US
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Telephone | 281-395-5599
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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 | 1208873
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License Number State | TX
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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 | PT5273
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License Number State | AR
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