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General NPI Number Information
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NPI Number | 1023480639
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Entity Type | Individual
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Provider Name | MEREDITH CARPENTER KENNEDY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 9180 KATY FWY # 200
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City | HOUSTON
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State | TX
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Zip | 77055-7454
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Country | US
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Telephone | 713-984-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 16219 FIELD HAZE TRL
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City | CYPRESS
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State | TX
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Zip | 77433-6063
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Country | US
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Telephone | 254-931-0750
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1262311
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License Number State | TX
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