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NPI 1033826698

NPI 1033826698 : RACHEL ANTOINE PT, DPT : LAKEWAY, TX

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General NPI Number Information
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    NPI Number           |    1033826698
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL ANTOINE PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2022
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    Last Update Date     |    11/03/2022
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Provider Practice Location Address
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    Address Line         |    2000 MEDICAL DR 
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    City                 |    LAKEWAY
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    State                |    TX
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    Zip                  |    78734-4200
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    Country              |    US
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    Telephone            |    512-263-4500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2609 BLAKE ST 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-3950
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    Country              |    US
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    Telephone            |    985-290-5218
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1255699
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    License Number State |    TX
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