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General NPI Number Information
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NPI Number | 1023712213
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Entity Type | Individual
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Provider Name | CHRISTOPHER HYNES
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Gender | Male
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1687 OLD US HIGHWAY 90 W
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City | CASTROVILLE
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State | TX
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Zip | 78009-2779
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Country | US
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Telephone | 830-355-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 606 HOLLIMON PKWY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6137
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Country | US
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Telephone | 979-900-2307
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2151924
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License Number State | TX
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