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Individual
TIMOTHY DANIEL DOTSON
Active
Individual
TIMOTHY DANIEL DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST-GROUP NUMBER
TN
01
—
4227759
BCBS TN INDIVIDUAL
TN
Enumeration date
06/02/2006
Last updated
08/15/2011
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