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General NPI Number Information
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NPI Number | 1932185832
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Entity Type | Individual
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Provider Name | DEBBIE K PRESTON M.S., P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 70 E 91ST ST SUITE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1550
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Country | US
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Telephone | 317-574-1140
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Fax | 317-574-1141
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Provider Business Mailing Address
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Address Line | 70 E 91ST ST STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1550
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Country | US
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Telephone | 317-574-1140
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Fax | 317-574-1141
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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 | 05001858A
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License Number State | IN
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