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General NPI Number Information
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NPI Number | 1952727851
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Entity Type | Individual
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Provider Name | KENDALL MARIE POKORSKI MPT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2014
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Last Update Date | 03/15/2014
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-525-9995
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Fax |
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Provider Business Mailing Address
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Address Line | 351 S GRAND ST
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City | ORANGE
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State | CA
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Zip | 92866-2013
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Country | US
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Telephone | 714-943-1509
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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 | 41100
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License Number State | CA
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