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Individual
KEVIN J DORF
Active
Individual
KEVIN J DORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1120277
TX
225100000X
Physical Therapist
Primary
1120277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0181
BLUE CROSS BLUE SHIELD #
TX
Enumeration date
08/14/2006
Last updated
03/25/2009
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