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General NPI Number Information
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NPI Number | 1043495344
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Entity Type | Individual
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Provider Name | DONNA KAY INGRAM PT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 1711 E CENTRAL TEXAS EXPY STE 108-8
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City | KILLEEN
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State | TX
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Zip | 76541-9119
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Country | US
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Telephone | 254-319-8904
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Fax | 254-247-3358
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Provider Business Mailing Address
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Address Line | 1711 E CENTRAL TEXAS EXPY STE 108-8
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City | KILLEEN
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State | TX
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Zip | 76541-9119
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Country | US
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Telephone | 254-319-8904
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Fax | 254-247-3358
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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 |
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License Number State | TX
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