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General NPI Number Information
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NPI Number | 1952444150
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Entity Type | Individual
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Provider Name | DAVID GLEN AYERS PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1310 HANNA AVE CORCORAN DISTRICT HOSPITAL
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City | CORCORAN
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State | CA
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Zip | 93212
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Country | US
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Telephone | 559-992-4965
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Fax |
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Provider Business Mailing Address
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Address Line | 277 W ADRIAN WAY
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City | HANFORD
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State | CA
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Zip | 93230-7151
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Country | US
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Telephone | 559-582-4117
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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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