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General NPI Number Information
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NPI Number | 1013685023
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Entity Type | Individual
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Provider Name | EMILY OLGUIN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 20 E PICCADILLY ST STE 11&14
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City | WINCHESTER
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State | VA
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Zip | 22601-3971
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Country | US
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Telephone | 877-407-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 S CARRIER PKWY STE 470
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-6645
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Country | US
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Telephone | 972-262-9972
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Fax | 972-262-9986
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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 | 1351551
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License Number State | TX
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