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General NPI Number Information
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NPI Number | 1023706520
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Entity Type | Individual
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Provider Name | BRENDA A NAVA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 10839 QUARRY PARK
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City | SAN ANTONIO
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State | TX
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Zip | 78233-4681
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Country | US
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Telephone | 844-206-4512
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 MINERAL SPGS
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City | SCHERTZ
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State | TX
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Zip | 78108-3483
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Country | US
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Telephone | 956-208-6061
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1369661
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License Number State | TX
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